| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,260.00 | $40,260.00 | $40,260.00 | |
Cigna
| Facility | $61,034.16 | $70,189.28 | $113,864.94 | |
Medica
| Facility | $19,497.52 | $23,833.92 | $55,272.15 | |
United
| Facility | $19,497.52 | $23,833.92 | $56,376.88 |