| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,877.62 | $21,877.62 | $21,877.62 | |
Cigna
| Facility | $34,673.69 | $39,810.72 | $63,095.73 | |
Medica
| Facility | $12,589.25 | $13,182.57 | $30,199.52 | |
United
| Facility | $12,589.25 | $23,442.29 | $29,512.09 |