| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,402.20 | $17,780.30 | $22,656.00 | |
Cigna
| Facility | $10,194.65 | $18,213.64 | $21,453.30 | |
Medica
| Facility | $9,704.91 | $18,471.50 | $25,877.23 | |
United
| Facility | $17,552.70 | $20,149.84 | $25,877.23 |