| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70,275.00 | $70,275.00 | $70,275.00 | |
Cigna
| Facility | $198,754.57 | $198,754.57 | $198,754.57 | |
Medica
| Facility | $41,602.80 | $73,086.00 | $96,479.14 | |
United
| Facility | $41,602.80 | $41,602.80 | $98,407.49 |