| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,957.50 | $14,957.50 | $14,957.50 | |
Cigna
| Facility | $22,675.57 | $26,076.91 | $42,303.40 | |
Medica
| Facility | $7,937.98 | $8,854.84 | $20,534.84 | |
United
| Facility | $7,937.98 | $8,854.84 | $20,945.29 |