| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,491.30 | $17,491.30 | $17,491.30 | |
Cigna
| Facility | $26,516.74 | $30,494.25 | $49,469.45 | |
Medica
| Facility | $10,354.82 | $10,914.26 | $24,013.39 | |
United
| Facility | $10,354.82 | $10,914.26 | $24,493.35 |