| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,073.79 | $10,073.79 | $10,073.79 | |
Cigna
| Facility | $15,271.81 | $17,562.58 | $28,490.98 | |
Medica
| Facility | $5,963.66 | $6,905.68 | $13,830.05 | |
United
| Facility | $5,963.66 | $6,905.68 | $14,106.47 |