| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,688.80 | $30,688.80 | $30,688.80 | |
Cigna
| Facility | $46,524.15 | $53,502.77 | $86,795.15 | |
Medica
| Facility | $4,300.00 | $6,800.00 | $33,033.37 | |
United
| Facility | $4,300.00 | $18,167.74 | $41,392.99 |