| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,525.33 | $11,734.80 | $14,952.70 | |
Cigna
| Facility | $6,722.72 | $12,020.83 | $14,158.98 | |
Medica
| Facility | $6,405.15 | $12,191.02 | $17,078.73 | |
United
| Facility | $11,584.62 | $13,298.71 | $17,078.73 |