| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,779.40 | $27,724.80 | $35,327.40 | |
Cigna
| Facility | $15,896.51 | $28,400.50 | $33,452.10 | |
Medica
| Facility | $15,132.85 | $28,802.60 | $40,350.33 | |
United
| Facility | $27,369.90 | $31,419.63 | $40,350.33 |