| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,740.00 | $30,740.00 | $30,740.00 | |
Cigna
| Facility | $46,601.84 | $53,592.12 | $86,940.10 | |
Medica
| Facility | $16,565.64 | $18,198.08 | $42,202.33 | |
United
| Facility | $16,565.64 | $18,198.08 | $43,045.84 |