| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,460.00 | $21,460.00 | $21,460.00 | |
Cigna
| Facility | $32,533.36 | $37,413.36 | $60,694.03 | |
Medica
| Facility | $11,454.46 | $12,704.32 | $29,462.00 | |
United
| Facility | $11,454.46 | $12,704.32 | $30,050.87 |