| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,099.80 | $25,105.70 | $31,990.20 | |
Cigna
| Facility | $14,340.97 | $25,717.62 | $30,292.02 | |
Medica
| Facility | $13,703.31 | $26,081.74 | $36,538.60 | |
United
| Facility | $24,784.38 | $28,451.55 | $36,538.60 |