| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,398.80 | $28,398.80 | $28,398.80 | |
Cigna
| Facility | $43,052.51 | $49,510.38 | $80,318.48 | |
Medica
| Facility | $15,153.72 | $16,812.06 | $38,988.08 | |
United
| Facility | $11,771.37 | $16,812.06 | $39,767.33 |