| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,178.05 | $11,193.30 | $14,262.70 | |
Cigna
| Facility | $6,417.88 | $11,466.10 | $13,505.58 | |
Medica
| Facility | $6,109.57 | $11,628.44 | $16,290.59 | |
United
| Facility | $11,050.02 | $12,685.01 | $16,290.59 |