| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,583.80 | $26,583.80 | $26,583.80 | |
Cigna
| Facility | $40,300.97 | $46,346.11 | $75,185.23 | |
Medica
| Facility | $12,987.00 | $15,737.58 | $36,496.30 | |
United
| Facility | $12,987.00 | $15,737.58 | $37,225.76 |