| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,785.34 | $9,798.37 | $13,141.90 | |
Cigna
| Facility | $5,913.56 | $10,565.09 | $12,444.30 | |
Medica
| Facility | $5,629.47 | $10,714.67 | $15,010.47 | |
United
| Facility | $10,181.70 | $11,688.21 | $15,010.47 |