| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,992.40 | $43,650.70 | $55,620.60 | |
Cigna
| Facility | $25,027.94 | $44,714.60 | $52,668.00 | |
Medica
| Facility | $23,825.62 | $45,347.68 | $63,528.78 | |
United
| Facility | $43,532.62 | $49,468.02 | $63,528.78 |