| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,386.42 | $11,518.20 | $14,676.70 | |
Cigna
| Facility | $6,604.18 | $11,798.94 | $13,897.62 | |
Medica
| Facility | $6,286.92 | $11,965.99 | $16,763.48 | |
United
| Facility | $11,370.78 | $13,053.23 | $16,763.48 |