| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,875.00 | $22,875.00 | $22,875.00 | |
Cigna
| Facility | $34,678.50 | $39,880.28 | $64,695.99 | |
Medica
| Facility | $13,542.00 | $14,637.94 | $31,404.63 | |
United
| Facility | $13,542.00 | $14,637.94 | $32,032.32 |