| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,597.94 | $11,848.10 | $15,097.00 | |
Cigna
| Facility | $6,793.30 | $12,136.82 | $14,295.60 | |
Medica
| Facility | $6,466.95 | $12,308.66 | $17,243.53 | |
United
| Facility | $11,696.40 | $13,427.03 | $17,243.53 |