| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,358.80 | $18,358.80 | $18,358.80 | |
Cigna
| Facility | $27,831.87 | $32,006.64 | $51,922.95 | |
Medica
| Facility | $10,457.68 | $10,868.38 | $25,204.36 | |
United
| Facility | $10,457.68 | $10,868.38 | $25,708.12 |