| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,782.79 | $26,302.68 | $42,657.95 | |
Cigna
| Facility | $47,863.01 | $47,863.01 | $47,863.01 | |
Medica
| Facility | $23,442.29 | $38,018.94 | $51,286.14 | |
United
| Facility | $23,442.29 | $38,904.51 | $53,703.18 |