| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,346.30 | $25,346.30 | $25,346.30 | |
Cigna
| Facility | $38,424.92 | $44,188.65 | $71,685.28 | |
Medica
| Facility | $13,749.94 | $15,004.98 | $34,797.36 | |
United
| Facility | $13,749.94 | $15,004.98 | $35,492.86 |