| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,941.00 | $12,383.00 | $15,778.70 | |
Cigna
| Facility | $7,100.03 | $12,684.83 | $14,941.08 | |
Medica
| Facility | $6,758.95 | $12,864.42 | $18,022.11 | |
United
| Facility | $12,224.52 | $14,033.30 | $18,022.11 |