| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,546.30 | $22,546.30 | $22,546.30 | |
Cigna
| Facility | $34,180.12 | $39,307.12 | $63,766.21 | |
Medica
| Facility | $12,783.50 | $13,347.38 | $30,953.30 | |
United
| Facility | $12,783.50 | $13,347.38 | $31,571.96 |