| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,733.80 | $26,733.80 | $26,733.80 | |
Cigna
| Facility | $40,528.37 | $46,607.62 | $75,609.46 | |
Medica
| Facility | $14,810.36 | $15,826.38 | $36,702.23 | |
United
| Facility | $14,810.36 | $15,826.38 | $37,435.80 |