| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,315.00 | $10,315.00 | $10,315.00 | |
Cigna
| Facility | $15,637.54 | $17,983.16 | $29,173.30 | |
Medica
| Facility | $6,106.48 | $7,115.10 | $14,161.26 | |
United
| Facility | $6,106.48 | $10,727.60 | $13,912.87 |