| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,148.80 | $22,063.30 | $28,113.50 | |
Cigna
| Facility | $12,650.40 | $22,601.05 | $26,621.10 | |
Medica
| Facility | $12,042.69 | $22,921.04 | $32,110.69 | |
United
| Facility | $22,351.55 | $25,003.67 | $32,110.69 |