| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,250.00 | $33,250.00 | $33,250.00 | |
Cigna
| Facility | $50,407.00 | $57,968.05 | $94,038.98 | |
Medica
| Facility | $19,684.00 | $24,153.60 | $45,648.26 | |
United
| Facility | $19,684.00 | $24,153.60 | $46,560.64 |