| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,134.10 | $22,040.30 | $28,084.20 | |
Cigna
| Facility | $11,856.38 | $22,577.51 | $26,593.38 | |
Medica
| Facility | $12,030.15 | $22,897.17 | $32,077.26 | |
United
| Facility | $21,758.22 | $24,977.63 | $32,077.26 |