| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,282.50 | $20,282.50 | $20,282.50 | |
Cigna
| Facility | $30,748.27 | $35,360.51 | $57,363.78 | |
Medica
| Facility | $11,600.98 | $12,007.24 | $27,845.44 | |
United
| Facility | $11,600.98 | $12,007.24 | $28,401.99 |