| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52,520.00 | $52,520.00 | $52,520.00 | |
Cigna
| Facility | $79,620.32 | $91,563.37 | $148,539.16 | |
Medica
| Facility | $26,079.08 | $31,091.84 | $72,103.66 | |
United
| Facility | $26,079.08 | $31,091.84 | $73,544.81 |