| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,941.84 | $12,693.50 | $23,979.60 | |
Cigna
| Facility | $1,758.00 | $11,502.40 | $21,649.29 | |
Medica
| Facility | $9,836.10 | $19,268.53 | $27,389.02 | |
United
| Facility | $9,879.19 | $19,268.53 | $27,389.02 |