| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,985.00 | $9,985.00 | $9,985.00 | |
Cigna
| Facility | $15,137.26 | $17,407.84 | $28,239.98 | |
Medica
| Facility | $5,565.54 | $5,911.12 | $13,708.21 | |
United
| Facility | $5,565.54 | $5,911.12 | $13,982.20 |