| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,882.50 | $10,882.50 | $10,882.50 | |
Cigna
| Facility | $16,497.87 | $18,972.55 | $30,778.32 | |
Medica
| Facility | $6,442.44 | $7,509.52 | $14,940.37 | |
United
| Facility | $6,442.44 | $7,509.52 | $15,238.98 |