| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,054.61 | $19,054.61 | $19,054.61 | |
Cigna
| Facility | $29,512.09 | $33,884.42 | $53,703.18 | |
Medica
| Facility | $11,220.18 | $19,498.45 | $25,703.96 | |
United
| Facility | $11,220.18 | $20,892.96 | $26,302.68 |