| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,890.00 | $28,890.00 | $28,890.00 | |
Cigna
| Facility | $43,797.24 | $50,366.83 | $81,707.85 | |
Medica
| Facility | $17,102.88 | $17,523.93 | $39,662.50 | |
United
| Facility | $17,102.88 | $17,523.93 | $40,455.24 |