| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,625.00 | $26,625.00 | $26,625.00 | |
Cigna
| Facility | $40,363.50 | $46,418.03 | $75,301.89 | |
Medica
| Facility | $15,762.00 | $16,097.96 | $36,552.93 | |
United
| Facility | $15,762.00 | $16,097.96 | $37,283.51 |