| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,002.50 | $25,002.50 | $25,002.50 | |
Cigna
| Facility | $37,903.79 | $43,589.36 | $70,713.07 | |
Medica
| Facility | $13,348.12 | $14,801.48 | $34,325.43 | |
United
| Facility | $13,348.12 | $14,801.48 | $35,011.50 |