| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,096.75 | $12,625.90 | $16,088.20 | |
Cigna
| Facility | $6,891.05 | $12,933.61 | $15,234.12 | |
Medica
| Facility | $6,891.52 | $13,116.73 | $18,375.58 | |
United
| Facility | $12,927.46 | $14,308.53 | $18,375.58 |