| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,000.00 | $22,908.68 | $36,307.81 | |
Cigna
| Facility | $16,982.44 | $26,302.68 | $41,686.94 | |
Medica
| Facility | $14,454.40 | $24,547.09 | $41,686.94 | |
United
| Facility | $12,589.25 | $17,782.79 | $33,884.42 |