| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,670.80 | $16,639.80 | $21,202.70 | |
Cigna
| Facility | $9,404.50 | $17,045.34 | $20,077.20 | |
Medica
| Facility | $9,082.40 | $17,286.66 | $24,217.36 | |
United
| Facility | $16,426.80 | $18,857.36 | $24,217.36 |