| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,299.50 | $16,299.50 | $16,299.50 | |
Cigna
| Facility | $12,528.63 | $12,970.29 | $12,970.29 | |
Medica
| Facility | $7,650.72 | $10,780.56 | $21,029.05 | |
United
| Facility | $7,650.72 | $10,780.56 | $19,796.82 |