| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,252.50 | $36,252.50 | $36,252.50 | |
Cigna
| Facility | $54,958.79 | $63,202.61 | $102,530.77 | |
Medica
| Facility | $20,688.91 | $21,461.48 | $49,770.33 | |
United
| Facility | $20,688.91 | $21,461.48 | $50,765.10 |