| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48,677.50 | $48,677.50 | $48,677.50 | |
Cigna
| Facility | $73,795.09 | $84,864.35 | $137,671.65 | |
Medica
| Facility | $24,092.18 | $28,817.08 | $66,828.37 | |
United
| Facility | $24,092.18 | $28,817.08 | $68,164.08 |