| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,140.00 | $10,140.00 | $10,140.00 | |
Cigna
| Facility | $15,372.24 | $17,678.08 | $28,678.35 | |
Medica
| Facility | $6,002.88 | $6,005.84 | $13,921.00 | |
United
| Facility | $6,002.88 | $6,005.84 | $14,199.24 |