| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,505.00 | $12,505.00 | $12,505.00 | |
Cigna
| Facility | $18,957.58 | $21,801.22 | $35,367.14 | |
Medica
| Facility | $3,300.00 | $5,400.00 | $13,460.38 | |
United
| Facility | $3,300.00 | $3,800.00 | $13,005.20 |