| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,873.60 | $24,752.90 | $31,540.60 | |
Cigna
| Facility | $14,192.54 | $25,356.20 | $29,866.32 | |
Medica
| Facility | $13,510.74 | $25,715.20 | $36,025.12 | |
United
| Facility | $12,937.55 | $25,876.60 | $36,025.12 |