| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,302.50 | $16,065.40 | $20,470.90 | |
Cigna
| Facility | $9,211.41 | $16,456.99 | $19,384.20 | |
Medica
| Facility | $8,768.90 | $16,689.99 | $23,381.46 | |
United
| Facility | $15,859.80 | $18,206.46 | $23,381.46 |