| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $57,288.20 | $93,561.30 | |
Cigna
| Facility | $111,579.83 | $111,579.83 | $111,579.83 | |
Medica
| Facility | $53,971.20 | $94,550.80 | $119,197.64 | |
United
| Facility | $53,971.20 | $95,337.88 | $125,016.41 |