| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,053.80 | $20,053.80 | $20,053.80 | |
Cigna
| Facility | $30,401.49 | $34,961.71 | $56,716.82 | |
Medica
| Facility | $10,388.12 | $11,871.82 | $27,531.39 | |
United
| Facility | $10,388.12 | $11,871.82 | $28,081.67 |