| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,043.30 | $29,695.60 | $37,838.69 | |
Cigna
| Facility | $16,764.96 | $30,419.38 | $35,830.08 | |
Medica
| Facility | $16,208.59 | $30,850.06 | $43,218.68 | |
United
| Facility | $29,315.52 | $33,653.12 | $43,218.68 |