| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,618.80 | $20,618.80 | $20,618.80 | |
Cigna
| Facility | $31,258.03 | $35,946.73 | $58,314.77 | |
Medica
| Facility | $4,300.00 | $6,800.00 | $22,194.02 | |
United
| Facility | $4,300.00 | $6,800.00 | $21,443.50 |