| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,933.80 | $38,933.80 | $38,933.80 | |
Cigna
| Facility | $59,023.57 | $67,877.10 | $110,113.99 | |
Medica
| Facility | $21,044.12 | $23,048.78 | $53,451.37 | |
United
| Facility | $21,044.12 | $23,048.78 | $54,519.71 |