| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,155.30 | $26,751.70 | $34,087.50 | |
Cigna
| Facility | $15,338.55 | $27,403.66 | $32,277.96 | |
Medica
| Facility | $14,601.70 | $27,791.65 | $38,934.07 | |
United
| Facility | $26,409.24 | $30,316.83 | $38,934.07 |