| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,934.42 | $13,932.10 | $17,752.59 | |
Cigna
| Facility | $7,988.24 | $14,271.69 | $16,810.20 | |
Medica
| Facility | $7,604.49 | $14,473.75 | $20,276.66 | |
United
| Facility | $13,753.80 | $15,788.85 | $20,276.66 |