| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,295.00 | $19,295.00 | $19,295.00 | |
Cigna
| Facility | $29,251.22 | $33,638.90 | $54,570.89 | |
Medica
| Facility | $10,826.20 | $11,422.64 | $26,489.72 | |
United
| Facility | $10,826.20 | $11,422.64 | $27,019.17 |