| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,811.30 | $19,977.59 | $25,455.80 | |
Cigna
| Facility | $11,338.88 | $20,464.49 | $24,104.52 | |
Medica
| Facility | $10,904.25 | $20,754.24 | $29,075.16 | |
United
| Facility | $19,721.88 | $22,639.99 | $29,075.16 |