| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,068.80 | $29,068.80 | $29,068.80 | |
Cigna
| Facility | $44,068.23 | $50,678.46 | $82,213.39 | |
Medica
| Facility | $15,540.00 | $17,208.70 | $39,907.91 | |
United
| Facility | $15,540.00 | $30,401.26 | $39,207.93 |