| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,758.80 | $26,758.80 | $26,758.80 | |
Cigna
| Facility | $40,566.26 | $46,651.20 | $75,680.17 | |
Medica
| Facility | $13,732.92 | $15,841.18 | $36,736.55 | |
United
| Facility | $13,732.92 | $15,841.18 | $37,470.81 |