| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,660.00 | $40,660.00 | $40,660.00 | |
Cigna
| Facility | $61,640.56 | $70,886.64 | $114,996.24 | |
Medica
| Facility | $24,070.72 | $26,547.50 | $55,821.30 | |
United
| Facility | $24,070.72 | $26,547.50 | $56,937.01 |