| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,400.00 | $8,400.00 | $8,400.00 | |
Cigna
| Facility | $12,734.40 | $14,644.56 | $23,757.22 | |
Medica
| Facility | $4,722.68 | $4,972.80 | $11,532.19 | |
United
| Facility | $4,722.68 | $4,972.80 | $11,762.69 |