| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,615.00 | $30,615.00 | $30,615.00 | |
Cigna
| Facility | $26,270.12 | $30,210.64 | $86,586.57 | |
Medica
| Facility | $820.00 | $1,850.00 | $32,953.99 | |
United
| Facility | $820.00 | $1,850.00 | $31,839.60 |