| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,391.60 | $17,763.90 | $22,635.10 | |
Cigna
| Facility | $9,729.62 | $18,196.83 | $21,433.50 | |
Medica
| Facility | $9,695.95 | $18,454.46 | $25,853.35 | |
United
| Facility | $17,536.50 | $20,131.25 | $25,853.35 |