| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,586.30 | $18,586.30 | $18,586.30 | |
Cigna
| Facility | $28,176.76 | $32,403.27 | $52,566.38 | |
Medica
| Facility | $10,679.68 | $11,003.06 | $25,516.69 | |
United
| Facility | $10,679.68 | $11,003.06 | $26,026.70 |