| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,952.62 | $19,952.62 | $19,952.62 | |
Cigna
| Facility | $30,902.95 | $35,481.34 | $56,234.13 | |
Medica
| Facility | $11,748.98 | $12,302.69 | $27,542.29 | |
United
| Facility | $11,748.98 | $21,379.62 | $26,915.35 |