| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,820.90 | $33,820.90 | $33,820.90 | |
Cigna
| Facility | $25,996.48 | $26,912.90 | $26,912.90 | |
Medica
| Facility | $15,874.98 | $22,369.29 | $39,532.15 | |
United
| Facility | $15,874.98 | $22,369.29 | $41,077.71 |