| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,416.90 | $17,803.30 | $22,685.30 | |
Cigna
| Facility | $9,643.04 | $18,237.16 | $21,481.02 | |
Medica
| Facility | $9,717.45 | $18,495.38 | $25,910.67 | |
United
| Facility | $17,575.38 | $20,175.89 | $25,910.67 |