| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,227.50 | $9,227.50 | $9,227.50 | |
Cigna
| Facility | $13,988.89 | $16,087.22 | $26,097.58 | |
Medica
| Facility | $5,291.74 | $5,462.68 | $12,668.25 | |
United
| Facility | $5,291.74 | $5,462.68 | $12,921.45 |