| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,718.80 | $21,718.80 | $21,718.80 | |
Cigna
| Facility | $32,925.62 | $37,864.47 | $61,425.84 | |
Medica
| Facility | $12,857.50 | $13,940.12 | $29,817.24 | |
United
| Facility | $12,857.50 | $13,940.12 | $30,413.20 |