| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,017.00 | $17,179.70 | $21,890.70 | |
Cigna
| Facility | $9,850.28 | $17,598.39 | $20,728.62 | |
Medica
| Facility | $9,377.08 | $17,847.55 | $25,003.11 | |
United
| Facility | $16,959.78 | $19,469.20 | $25,003.11 |