| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,577.50 | $19,577.50 | $19,577.50 | |
Cigna
| Facility | $29,679.49 | $34,131.41 | $55,369.87 | |
Medica
| Facility | $11,589.88 | $12,280.30 | $26,877.56 | |
United
| Facility | $11,589.88 | $20,474.93 | $26,406.13 |