| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,075.00 | $36,075.00 | $36,075.00 | |
Cigna
| Facility | $54,689.70 | $62,893.16 | $102,028.76 | |
Medica
| Facility | $20,522.41 | $21,356.40 | $49,526.65 | |
United
| Facility | $20,522.41 | $21,356.40 | $50,516.54 |