| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $24,682.20 | $40,310.30 | |
Cigna
| Facility | $48,073.40 | $48,073.40 | $48,073.40 | |
Medica
| Facility | $23,253.12 | $40,736.56 | $51,355.48 | |
United
| Facility | $23,253.12 | $41,075.67 | $53,862.46 |