| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,191.30 | $24,191.30 | $24,191.30 | |
Cigna
| Facility | $36,673.94 | $42,175.03 | $68,418.66 | |
Medica
| Facility | $10,965.32 | $14,321.22 | $33,211.68 | |
United
| Facility | $10,965.32 | $14,321.22 | $33,875.49 |