| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,609.51 | $11,866.10 | $15,120.00 | |
Cigna
| Facility | $6,803.65 | $12,155.31 | $14,317.38 | |
Medica
| Facility | $6,476.81 | $12,327.41 | $17,269.80 | |
United
| Facility | $11,714.22 | $13,447.49 | $17,269.80 |