| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,310.00 | $10,317.40 | $23,252.90 | |
Cigna
| Facility | $5,792.00 | $14,122.62 | $22,030.63 | |
Medica
| Facility | $5,616.00 | $17,147.00 | $23,993.52 | |
United
| Facility | $5,616.00 | $19,405.59 | $27,871.46 |