| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52,360.00 | $52,360.00 | $52,360.00 | |
Cigna
| Facility | $79,377.75 | $91,284.42 | $148,086.65 | |
Medica
| Facility | $28,740.12 | $30,997.12 | $71,884.00 | |
United
| Facility | $28,740.12 | $30,997.12 | $73,320.75 |