| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,446.30 | $28,446.30 | $28,446.30 | |
Cigna
| Facility | $43,124.52 | $49,593.19 | $80,452.82 | |
Medica
| Facility | $15,929.24 | $16,840.18 | $39,053.29 | |
United
| Facility | $15,929.24 | $16,840.18 | $39,833.85 |