| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,867.50 | $16,867.50 | $16,867.50 | |
Cigna
| Facility | $25,571.13 | $29,406.80 | $47,705.34 | |
Medica
| Facility | $9,516.40 | $9,985.56 | $23,157.05 | |
United
| Facility | $9,516.40 | $9,985.56 | $23,619.90 |