| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,678.80 | $19,678.80 | $19,678.80 | |
Cigna
| Facility | $29,832.99 | $34,307.93 | $55,656.23 | |
Medica
| Facility | $11,649.82 | $11,744.54 | $27,016.56 | |
United
| Facility | $11,649.82 | $11,744.54 | $27,556.55 |