| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,516.20 | $30,516.20 | $30,516.20 | |
Cigna
| Facility | $46,262.64 | $53,202.03 | $86,307.28 | |
Medica
| Facility | $16,957.84 | $18,065.62 | $41,895.15 | |
United
| Facility | $16,957.84 | $18,065.62 | $42,732.52 |