| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,951.30 | $27,016.10 | $36,234.90 | |
Cigna
| Facility | $16,304.86 | $29,130.05 | $34,311.42 | |
Medica
| Facility | $15,521.59 | $29,542.48 | $41,386.85 | |
United
| Facility | $28,072.98 | $32,226.74 | $41,386.85 |