| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52,790.00 | $52,790.00 | $52,790.00 | |
Cigna
| Facility | $80,029.64 | $92,034.09 | $149,302.79 | |
Medica
| Facility | $30,751.44 | $31,251.68 | $72,474.34 | |
United
| Facility | $30,751.44 | $31,251.68 | $73,922.89 |