| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,275.00 | $36,275.00 | $36,275.00 | |
Cigna
| Facility | $54,992.90 | $63,241.84 | $102,594.41 | |
Medica
| Facility | $21,474.80 | $22,273.26 | $49,801.22 | |
United
| Facility | $21,474.80 | $22,273.26 | $50,796.61 |