| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,409.20 | $16,409.20 | $16,409.20 | |
Cigna
| Facility | $11,436.60 | $13,057.56 | $13,057.56 | |
Medica
| Facility | $3,300.00 | $8,534.27 | $21,170.55 | |
United
| Facility | $3,300.00 | $8,534.27 | $19,930.03 |