| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,491.60 | $24,157.20 | $30,781.60 | |
Cigna
| Facility | $13,628.20 | $24,746.00 | $29,147.58 | |
Medica
| Facility | $13,185.60 | $25,096.36 | $35,158.16 | |
United
| Facility | $23,848.02 | $27,376.64 | $35,158.16 |