| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,113.80 | $24,113.80 | $24,113.80 | |
Cigna
| Facility | $36,556.44 | $42,039.91 | $68,199.47 | |
Medica
| Facility | $11,782.28 | $14,275.34 | $33,105.29 | |
United
| Facility | $11,782.28 | $14,275.34 | $33,766.97 |