| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,163.80 | $22,163.80 | $22,163.80 | |
Cigna
| Facility | $33,600.25 | $38,640.28 | $62,684.40 | |
Medica
| Facility | $12,760.56 | $13,120.94 | $30,428.17 | |
United
| Facility | $12,760.56 | $13,120.94 | $31,036.34 |