| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,674.69 | $33,674.69 | $33,674.69 | |
Cigna
| Facility | $25,884.08 | $26,796.54 | $26,796.54 | |
Medica
| Facility | $15,806.34 | $22,272.57 | $42,315.87 | |
United
| Facility | $15,806.34 | $22,272.57 | $40,900.10 |