| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,897.69 | $35,897.69 | $35,897.69 | |
Cigna
| Facility | $27,592.82 | $28,565.52 | $28,565.52 | |
Medica
| Facility | $16,849.80 | $23,742.90 | $42,732.57 | |
United
| Facility | $16,849.80 | $23,742.90 | $43,600.13 |