| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,599.20 | $22,765.70 | $29,008.40 | |
Cigna
| Facility | $12,446.99 | $23,320.51 | $27,468.54 | |
Medica
| Facility | $12,426.05 | $23,650.69 | $33,132.89 | |
United
| Facility | $22,474.26 | $25,799.62 | $33,132.89 |