| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,688.60 | $22,905.10 | $29,186.20 | |
Cigna
| Facility | $12,456.61 | $23,463.40 | $27,636.84 | |
Medica
| Facility | $12,502.18 | $23,795.60 | $33,335.89 | |
United
| Facility | $22,611.96 | $25,957.69 | $33,335.89 |