| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,610.50 | $24,342.70 | $31,017.90 | |
Cigna
| Facility | $13,957.31 | $24,935.95 | $29,371.32 | |
Medica
| Facility | $13,286.81 | $25,289.00 | $35,428.04 | |
United
| Facility | $24,924.09 | $27,586.79 | $35,428.04 |