| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,596.30 | $19,596.30 | $19,596.30 | |
Cigna
| Facility | $29,707.92 | $34,164.10 | $55,422.90 | |
Medica
| Facility | $10,641.20 | $11,600.98 | $26,903.30 | |
United
| Facility | $10,641.20 | $11,600.98 | $27,441.02 |