| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,223.80 | $21,223.80 | $21,223.80 | |
Cigna
| Facility | $32,175.21 | $37,001.49 | $60,025.86 | |
Medica
| Facility | $12,564.46 | $12,898.94 | $29,137.66 | |
United
| Facility | $12,564.46 | $12,898.94 | $29,720.04 |