| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,091.10 | $12,091.10 | $12,091.10 | |
Cigna
| Facility | $9,293.79 | $9,621.42 | $9,621.42 | |
Medica
| Facility | $5,675.34 | $7,997.07 | $13,944.19 | |
United
| Facility | $5,675.34 | $7,997.07 | $14,685.37 |