| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,593.80 | $22,593.80 | $22,593.80 | |
Cigna
| Facility | $34,252.12 | $39,389.94 | $63,900.55 | |
Medica
| Facility | $13,375.50 | $15,832.30 | $31,018.51 | |
United
| Facility | $13,375.50 | $15,832.30 | $31,638.48 |