| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,330.00 | $11,330.00 | $11,330.00 | |
Cigna
| Facility | $17,176.28 | $19,752.72 | $32,043.96 | |
Medica
| Facility | $5,845.26 | $6,707.36 | $15,554.73 | |
United
| Facility | $5,845.26 | $6,707.36 | $15,865.63 |