| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,445.00 | $31,881.40 | $40,623.90 | |
Cigna
| Facility | $16,602.39 | $32,658.47 | $38,467.44 | |
Medica
| Facility | $17,401.66 | $33,120.85 | $46,399.89 | |
United
| Facility | $31,473.36 | $36,130.25 | $46,399.89 |