| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,481.34 | $35,481.34 | $35,481.34 | |
Cigna
| Facility | $56,234.13 | $64,565.42 | $102,329.30 | |
Medica
| Facility | $21,379.62 | $37,153.52 | $48,977.88 | |
United
| Facility | $21,379.62 | $39,810.72 | $50,118.72 |