| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,419.80 | $19,367.09 | $24,678.00 | |
Cigna
| Facility | $11,068.58 | $19,839.16 | $23,367.96 | |
Medica
| Facility | $10,571.05 | $20,120.05 | $28,186.72 | |
United
| Facility | $19,119.24 | $21,948.18 | $28,186.72 |