| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,710.00 | $37,710.00 | $37,710.00 | |
Cigna
| Facility | $57,168.36 | $65,743.61 | $106,652.93 | |
Medica
| Facility | $17,974.59 | $22,324.32 | $51,771.30 | |
United
| Facility | $17,974.59 | $22,324.32 | $52,806.00 |