| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,660.00 | $27,660.00 | $27,660.00 | |
Cigna
| Facility | $41,932.56 | $48,222.44 | $78,229.12 | |
Medica
| Facility | $16,374.72 | $16,488.68 | $37,973.86 | |
United
| Facility | $16,374.72 | $16,488.68 | $38,732.85 |