| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46,585.00 | $46,585.00 | $46,585.00 | |
Cigna
| Facility | $70,622.86 | $81,216.28 | $131,753.56 | |
Medica
| Facility | $26,464.62 | $27,578.32 | $63,955.61 | |
United
| Facility | $26,464.62 | $27,578.32 | $65,233.91 |