| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,455.00 | $22,540.80 | $28,722.00 | |
Cigna
| Facility | $12,924.20 | $23,090.22 | $27,197.28 | |
Medica
| Facility | $12,303.34 | $23,417.13 | $32,805.69 | |
United
| Facility | $22,252.32 | $25,544.84 | $32,805.69 |