| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,925.34 | $8,802.92 | $12,899.40 | |
Cigna
| Facility | $2,200.00 | $6,187.51 | $11,645.84 | |
Medica
| Facility | $5,525.57 | $10,516.91 | $14,733.42 | |
United
| Facility | $9,993.78 | $11,472.49 | $14,733.42 |