| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $54,308.60 | $88,695.20 | |
Cigna
| Facility | $105,776.57 | $105,776.57 | $105,776.57 | |
Medica
| Facility | $51,164.16 | $89,633.21 | $112,998.18 | |
United
| Facility | $51,164.16 | $90,379.36 | $118,514.32 |