| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,357.50 | $19,357.50 | $19,357.50 | |
Cigna
| Facility | $29,345.97 | $33,747.87 | $54,747.66 | |
Medica
| Facility | $1,322.00 | $11,459.64 | $26,575.52 | |
United
| Facility | $1,322.00 | $11,459.64 | $27,106.69 |