| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,710.70 | $22,939.60 | $29,230.10 | |
Cigna
| Facility | $12,969.30 | $23,498.70 | $27,678.42 | |
Medica
| Facility | $12,520.99 | $23,831.40 | $33,386.05 | |
United
| Facility | $22,645.98 | $25,996.75 | $33,386.05 |