| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,135.61 | $36,307.81 | $51,286.14 | |
Cigna
| Facility | $30,902.95 | $47,863.01 | $75,857.76 | |
Medica
| Facility | $26,302.68 | $36,307.81 | $75,857.76 | |
United
| Facility | $22,908.68 | $30,902.95 | $64,565.42 |