| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,000.00 | $10,000.00 | $10,000.00 | |
Cigna
| Facility | $15,488.17 | $17,782.79 | $28,183.83 | |
Medica
| Facility | $5,495.41 | $5,888.44 | $13,803.84 | |
United
| Facility | $5,495.41 | $10,715.19 | $13,489.63 |