| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52,120.00 | $52,120.00 | $52,120.00 | |
Cigna
| Facility | $44,723.13 | $51,431.60 | $147,407.87 | |
Medica
| Facility | $1,400.00 | $3,200.00 | $56,101.97 | |
United
| Facility | $1,400.00 | $3,200.00 | $54,204.80 |