| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,603.80 | $16,603.80 | $16,603.80 | |
Cigna
| Facility | $25,171.29 | $28,946.98 | $46,959.39 | |
Medica
| Facility | $7,848.44 | $9,829.42 | $22,794.96 | |
United
| Facility | $7,848.44 | $9,829.42 | $23,250.56 |