| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,517.50 | $20,517.50 | $20,517.50 | |
Cigna
| Facility | $31,104.53 | $35,770.21 | $58,028.41 | |
Medica
| Facility | $12,140.44 | $12,146.36 | $28,168.07 | |
United
| Facility | $12,140.44 | $12,146.36 | $28,731.07 |