| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,621.30 | $22,621.30 | $22,621.30 | |
Cigna
| Facility | $34,293.82 | $39,437.89 | $63,978.32 | |
Medica
| Facility | $12,850.84 | $13,391.78 | $31,056.26 | |
United
| Facility | $12,850.84 | $13,391.78 | $31,676.99 |