| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,520.00 | $28,520.00 | $28,520.00 | |
Cigna
| Facility | $43,236.32 | $49,721.77 | $80,661.39 | |
Medica
| Facility | $16,883.84 | $29,660.80 | $39,154.54 | |
United
| Facility | $16,883.84 | $16,883.84 | $39,937.12 |