| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,527.50 | $22,527.50 | $22,527.50 | |
Cigna
| Facility | $19,330.40 | $22,229.96 | $63,713.18 | |
Medica
| Facility | $820.00 | $1,850.00 | $24,248.60 | |
United
| Facility | $820.00 | $1,850.00 | $23,428.60 |