| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,877.62 | $21,877.62 | $21,877.62 | |
Cigna
| Facility | $34,673.69 | $39,810.72 | $61,659.50 | |
Medica
| Facility | $13,182.57 | $22,908.68 | $30,199.52 | |
United
| Facility | $13,182.57 | $24,547.09 | $30,902.95 |