| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
Cigna
| Facility | $8,912.51 | $10,232.93 | $16,218.10 | |
Medica
| Facility | $3,388.44 | $3,548.13 | $7,762.47 | |
United
| Facility | $3,388.44 | $6,025.60 | $7,585.78 |