| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,092.50 | $26,092.50 | $26,092.50 | |
Cigna
| Facility | $39,556.23 | $45,489.66 | $73,795.85 | |
Medica
| Facility | $15,446.76 | $17,404.80 | $35,821.87 | |
United
| Facility | $15,446.76 | $17,404.80 | $36,537.85 |