| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,095.00 | $10,095.00 | $10,095.00 | |
Cigna
| Facility | $15,304.02 | $17,599.62 | $28,551.08 | |
Medica
| Facility | $5,583.30 | $5,976.24 | $13,859.22 | |
United
| Facility | $5,583.30 | $5,976.24 | $14,136.23 |