| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,375.00 | $8,375.00 | $8,375.00 | |
Cigna
| Facility | $12,696.50 | $14,600.98 | $23,686.51 | |
Medica
| Facility | $4,958.00 | $5,220.70 | $11,497.87 | |
United
| Facility | $4,958.00 | $5,220.70 | $11,727.68 |