| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,997.80 | $24,946.60 | $31,787.40 | |
Cigna
| Facility | $14,303.56 | $25,554.56 | $30,099.96 | |
Medica
| Facility | $13,616.43 | $25,916.37 | $36,306.94 | |
United
| Facility | $24,627.24 | $28,271.16 | $36,306.94 |