| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,580.05 | $11,820.20 | $15,061.50 | |
Cigna
| Facility | $6,777.30 | $12,108.24 | $14,261.94 | |
Medica
| Facility | $6,451.73 | $12,279.67 | $17,202.91 | |
United
| Facility | $11,668.86 | $13,395.42 | $17,202.91 |