| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,560.00 | $39,560.00 | $39,560.00 | |
Cigna
| Facility | $59,972.96 | $68,968.89 | $111,885.17 | |
Medica
| Facility | $21,898.08 | $23,419.52 | $54,311.13 | |
United
| Facility | $21,898.08 | $23,419.52 | $55,396.66 |