| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,244.00 | $25,330.60 | $32,276.70 | |
Cigna
| Facility | $14,523.73 | $25,947.92 | $30,563.28 | |
Medica
| Facility | $13,826.03 | $26,315.29 | $36,865.80 | |
United
| Facility | $25,006.32 | $28,706.33 | $36,865.80 |