| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,634.20 | $21,260.90 | $27,091.00 | |
Cigna
| Facility | $11,628.41 | $21,779.04 | $25,652.88 | |
Medica
| Facility | $11,604.69 | $22,087.39 | $30,942.81 | |
United
| Facility | $20,988.72 | $24,094.27 | $30,942.81 |