| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,198.00 | $17,461.90 | $22,250.30 | |
Cigna
| Facility | $9,661.32 | $17,887.52 | $21,069.18 | |
Medica
| Facility | $9,531.14 | $18,140.78 | $25,413.90 | |
United
| Facility | $17,238.41 | $19,789.07 | $25,413.90 |