| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68,283.80 | $68,283.80 | $68,283.80 | |
Cigna
| Facility | $103,518.17 | $119,045.89 | $193,122.83 | |
Medica
| Facility | $37,418.83 | $40,423.98 | $93,745.39 | |
United
| Facility | $37,418.83 | $40,423.98 | $95,619.10 |