| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,272.76 | $11,341.00 | $14,450.90 | |
Cigna
| Facility | $6,347.58 | $11,617.39 | $13,683.78 | |
Medica
| Facility | $6,190.18 | $11,781.87 | $16,505.54 | |
United
| Facility | $11,195.82 | $12,852.39 | $16,505.54 |