| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,448.80 | $18,448.80 | $18,448.80 | |
Cigna
| Facility | $15,830.50 | $18,205.08 | $52,177.49 | |
Medica
| Facility | $820.00 | $1,850.00 | $19,858.23 | |
United
| Facility | $820.00 | $1,850.00 | $19,186.70 |