| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,760.00 | $8,760.00 | $8,760.00 | |
Cigna
| Facility | $13,280.16 | $15,272.18 | $24,775.38 | |
Medica
| Facility | $5,185.92 | $5,527.80 | $12,026.43 | |
United
| Facility | $5,185.92 | $5,527.80 | $12,266.80 |