| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,539.28 | $10,197.20 | $12,993.50 | |
Cigna
| Facility | $5,846.75 | $10,445.73 | $12,303.72 | |
Medica
| Facility | $5,565.88 | $10,593.63 | $14,840.90 | |
United
| Facility | $10,066.68 | $11,556.18 | $14,840.90 |