| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,549.93 | $22,387.21 | $31,622.78 | |
Cigna
| Facility | $19,054.61 | $28,840.32 | $46,773.51 | |
Medica
| Facility | $16,218.10 | $22,387.21 | $46,773.51 | |
United
| Facility | $14,125.38 | $19,952.62 | $39,810.72 |