| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,961.78 | $13,974.80 | $17,807.00 | |
Cigna
| Facility | $8,012.70 | $14,315.40 | $16,861.68 | |
Medica
| Facility | $7,627.78 | $14,518.08 | $20,338.75 | |
United
| Facility | $13,795.92 | $15,837.21 | $20,338.75 |