| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,346.60 | $22,371.80 | $28,506.60 | |
Cigna
| Facility | $12,827.29 | $22,917.07 | $26,993.34 | |
Medica
| Facility | $12,211.08 | $23,241.54 | $32,559.69 | |
United
| Facility | $22,085.46 | $25,353.29 | $32,559.69 |