| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,457.50 | $26,457.50 | $26,457.50 | |
Cigna
| Facility | $40,109.57 | $46,126.01 | $74,828.16 | |
Medica
| Facility | $15,167.04 | $15,662.84 | $36,322.97 | |
United
| Facility | $15,167.04 | $15,662.84 | $37,048.97 |