| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,958.80 | $22,958.80 | $22,958.80 | |
Cigna
| Facility | $34,805.47 | $40,026.28 | $64,932.86 | |
Medica
| Facility | $12,359.48 | $13,591.58 | $31,519.61 | |
United
| Facility | $12,359.48 | $13,591.58 | $32,149.60 |