| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,320.00 | $28,320.00 | $28,320.00 | |
Cigna
| Facility | $42,933.12 | $49,373.09 | $80,095.75 | |
Medica
| Facility | $16,169.74 | $16,765.43 | $38,879.96 | |
United
| Facility | $16,169.74 | $16,765.43 | $39,657.06 |