| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,003.75 | $9,003.75 | $9,003.75 | |
Cigna
| Facility | $13,649.69 | $15,697.14 | $25,464.77 | |
Medica
| Facility | $5,006.84 | $5,330.22 | $12,361.07 | |
United
| Facility | $5,006.84 | $5,330.22 | $12,608.13 |