| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,380.00 | $40,380.00 | $40,380.00 | |
Cigna
| Facility | $114,204.33 | $114,204.33 | $114,204.33 | |
Medica
| Facility | $23,904.96 | $41,995.20 | $55,436.89 | |
United
| Facility | $23,904.96 | $23,904.96 | $56,544.92 |