| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,000.00 | $12,000.00 | $12,000.00 | |
Cigna
| Facility | $4,627.00 | $4,627.00 | $4,627.00 | |
Medica
| Facility | $4,500.00 | $4,500.00 | $4,500.00 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |