| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50,737.50 | $50,737.50 | $50,737.50 | |
Cigna
| Facility | $43,536.83 | $50,067.36 | $143,497.82 | |
Medica
| Facility | $1,400.00 | $3,200.00 | $54,613.85 | |
United
| Facility | $1,400.00 | $3,200.00 | $52,767.00 |