| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,415.00 | $11,415.00 | $11,415.00 | |
Cigna
| Facility | $17,305.14 | $19,900.91 | $32,284.36 | |
Medica
| Facility | $6,122.76 | $6,757.68 | $15,671.43 | |
United
| Facility | $6,122.76 | $6,757.68 | $15,984.65 |