| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,203.80 | $12,203.80 | $12,203.80 | |
Cigna
| Facility | $18,500.89 | $21,276.02 | $34,515.12 | |
Medica
| Facility | $7,118.06 | $7,224.62 | $16,754.28 | |
United
| Facility | $7,118.06 | $7,224.62 | $17,089.16 |