| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,900.00 | $7,900.00 | $7,900.00 | |
Cigna
| Facility | $11,976.40 | $13,772.86 | $22,343.10 | |
Medica
| Facility | $4,676.80 | $5,195.54 | $10,845.75 | |
United
| Facility | $4,676.80 | $5,195.54 | $11,062.53 |