| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,810.00 | $20,810.00 | $20,810.00 | |
Cigna
| Facility | $31,547.96 | $36,280.15 | $58,855.67 | |
Medica
| Facility | $12,199.64 | $12,319.52 | $28,569.63 | |
United
| Facility | $12,199.64 | $12,319.52 | $29,140.66 |