| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,602.00 | $10,602.00 | $10,602.00 | |
Cigna
| Facility | $7,389.20 | $8,436.51 | $8,436.51 | |
Medica
| Facility | $3,300.00 | $5,579.60 | $12,357.64 | |
United
| Facility | $3,300.00 | $5,579.60 | $12,876.81 |