| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26,454.32 | $26,454.32 | $26,454.32 | |
Cigna
| Professional | $38,437.90 | $38,437.90 | $38,437.90 | |
Medica
| Facility | $26,454.32 | $48,499.58 | $247,449.59 | |
Medica
| Professional | $303,364.75 | $303,364.75 | $303,364.75 |