| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,756.06 | $10,535.30 | $13,424.20 | |
Cigna
| Facility | $6,040.58 | $10,792.02 | $12,711.60 | |
Medica
| Facility | $5,750.39 | $10,944.82 | $15,332.89 | |
United
| Facility | $10,400.40 | $11,939.27 | $15,332.89 |