| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,208.80 | $19,208.80 | $19,208.80 | |
Cigna
| Facility | $29,120.47 | $33,488.53 | $54,326.96 | |
Medica
| Facility | $10,627.14 | $11,371.58 | $26,371.31 | |
United
| Facility | $10,627.14 | $20,089.28 | $25,908.76 |