| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,880.70 | $26,323.40 | $33,541.69 | |
Cigna
| Facility | $15,092.98 | $26,964.92 | $31,761.18 | |
Medica
| Facility | $14,367.92 | $27,346.70 | $38,310.72 | |
United
| Facility | $25,986.42 | $29,831.45 | $38,310.72 |