| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,512.50 | $18,512.50 | $18,512.50 | |
Cigna
| Facility | $28,064.95 | $32,274.69 | $52,357.79 | |
Medica
| Facility | $10,959.40 | $10,983.82 | $25,415.44 | |
United
| Facility | $10,959.40 | $10,983.82 | $25,923.42 |