| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,772.80 | $23,036.40 | $29,353.50 | |
Cigna
| Facility | $13,208.35 | $23,597.88 | $27,795.24 | |
Medica
| Facility | $12,573.84 | $23,931.98 | $33,526.96 | |
United
| Facility | $22,741.56 | $26,106.47 | $33,526.96 |