| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,283.70 | $14,283.70 | $14,283.70 | |
Cigna
| Facility | $21,654.17 | $24,902.29 | $40,397.87 | |
Medica
| Facility | $8,302.79 | $8,455.98 | $19,609.87 | |
United
| Facility | $8,302.79 | $8,455.98 | $20,001.82 |