| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71,628.80 | $71,628.80 | $71,628.80 | |
Cigna
| Facility | $108,589.19 | $124,877.56 | $202,583.30 | |
Medica
| Facility | $40,662.26 | $42,404.22 | $98,337.68 | |
United
| Facility | $40,662.26 | $42,404.22 | $100,303.17 |