| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,432.50 | $9,432.50 | $9,432.50 | |
Cigna
| Facility | $14,299.67 | $16,444.62 | $26,677.37 | |
Medica
| Facility | $5,584.04 | $5,740.92 | $12,949.69 | |
United
| Facility | $5,584.04 | $5,740.92 | $13,208.52 |