| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,500.00 | $36,500.00 | $36,500.00 | |
Cigna
| Facility | $55,334.00 | $63,634.10 | $103,230.76 | |
Medica
| Facility | $19,499.00 | $21,608.00 | $50,110.12 | |
United
| Facility | $19,499.00 | $21,608.00 | $51,111.68 |