| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,295.00 | $8,295.00 | $8,295.00 | |
Cigna
| Facility | $12,575.22 | $14,461.50 | $23,460.25 | |
Medica
| Facility | $4,910.64 | $5,295.44 | $11,388.04 | |
United
| Facility | $4,910.64 | $5,295.44 | $11,615.65 |