| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,490.00 | $13,490.00 | $13,490.00 | |
Cigna
| Facility | $20,450.84 | $23,518.47 | $38,152.96 | |
Medica
| Facility | $3,300.00 | $5,400.00 | $14,520.64 | |
United
| Facility | $3,300.00 | $3,800.00 | $14,029.60 |