| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,656.30 | $21,295.30 | $27,134.90 | |
Cigna
| Facility | $11,253.27 | $21,814.34 | $25,694.46 | |
Medica
| Facility | $11,623.50 | $22,123.19 | $30,992.97 | |
United
| Facility | $21,803.96 | $24,133.33 | $30,992.97 |