| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,036.70 | $18,769.80 | $23,916.90 | |
Cigna
| Facility | $10,762.01 | $19,227.28 | $22,647.24 | |
Medica
| Facility | $10,245.02 | $19,499.50 | $27,317.38 | |
United
| Facility | $18,529.56 | $21,271.25 | $27,317.38 |