| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,493.70 | $13,493.70 | $13,493.70 | |
Cigna
| Facility | $20,456.53 | $23,525.00 | $38,163.56 | |
Medica
| Facility | $7,567.24 | $7,988.30 | $18,525.30 | |
United
| Facility | $7,567.24 | $14,112.30 | $18,200.37 |