| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,084.39 | $11,047.20 | $14,076.60 | |
Cigna
| Facility | $6,334.14 | $11,316.49 | $13,329.36 | |
Medica
| Facility | $6,029.85 | $11,476.71 | $16,078.04 | |
United
| Facility | $10,905.84 | $12,519.50 | $16,078.04 |