| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,489.90 | $39,748.40 | $50,648.20 | |
Cigna
| Facility | $22,790.48 | $22,790.48 | $47,959.56 | |
Medica
| Facility | $21,695.65 | $41,293.67 | $57,849.40 | |
United
| Facility | $39,239.64 | $45,045.65 | $57,849.40 |