| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,633.99 | $10,344.90 | $13,181.70 | |
Cigna
| Facility | $5,931.43 | $10,597.02 | $12,481.92 | |
Medica
| Facility | $5,646.49 | $10,747.06 | $15,055.84 | |
United
| Facility | $10,212.48 | $11,723.55 | $15,055.84 |