| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,500.00 | $39,500.00 | $39,500.00 | |
Cigna
| Facility | $59,882.00 | $68,864.30 | $111,715.48 | |
Medica
| Facility | $23,167.92 | $23,384.00 | $54,228.76 | |
United
| Facility | $23,167.92 | $23,384.00 | $55,312.64 |