| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,990.00 | $14,990.00 | $14,990.00 | |
Cigna
| Facility | $22,724.84 | $26,133.57 | $42,395.32 | |
Medica
| Facility | $8,181.44 | $8,874.08 | $20,579.47 | |
United
| Facility | $8,181.44 | $8,874.08 | $20,990.80 |