| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,000.00 | $9,000.00 | $9,000.00 | |
Cigna
| Facility | $13,644.00 | $15,690.60 | $25,454.16 | |
Medica
| Facility | $5,197.76 | $5,328.00 | $12,355.92 | |
United
| Facility | $5,197.76 | $5,328.00 | $12,602.88 |