| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,978.30 | $21,797.50 | $27,774.80 | |
Cigna
| Facility | $10,436.62 | $22,328.72 | $26,300.34 | |
Medica
| Facility | $11,897.58 | $22,644.86 | $31,723.79 | |
United
| Facility | $21,518.46 | $24,702.40 | $31,723.79 |