| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,266.40 | $30,043.50 | $38,282.00 | |
Cigna
| Facility | $17,226.00 | $30,775.75 | $36,249.83 | |
Medica
| Facility | $16,398.48 | $31,211.48 | $43,725.00 | |
United
| Facility | $29,658.96 | $34,047.39 | $43,725.00 |