| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $14,791.08 | $20,892.96 | |
Cigna
| Facility | $12,302.69 | $18,620.87 | $30,902.95 | |
Medica
| Facility | $10,471.29 | $14,454.40 | $30,902.95 | |
United
| Facility | $9,120.11 | $13,803.84 | $26,302.68 |