| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,932.58 | $12,369.90 | $15,762.00 | |
Cigna
| Facility | $7,092.50 | $12,671.38 | $14,925.24 | |
Medica
| Facility | $6,751.79 | $12,850.78 | $18,003.00 | |
United
| Facility | $12,665.35 | $14,018.42 | $18,003.00 |