| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,909.90 | $21,690.80 | $27,638.80 | |
Cigna
| Facility | $12,304.62 | $22,219.46 | $26,171.64 | |
Medica
| Facility | $11,839.36 | $22,534.05 | $31,568.55 | |
United
| Facility | $21,413.16 | $24,581.51 | $31,568.55 |