| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,882.50 | $12,882.50 | $16,982.44 | |
Cigna
| Facility | $13,182.57 | $13,489.63 | $13,489.63 | |
Medica
| Facility | $7,943.28 | $11,220.18 | $19,498.45 | |
United
| Facility | $8,709.64 | $12,302.69 | $20,417.38 |