| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,031.30 | $15,031.30 | $15,031.30 | |
Cigna
| Facility | $22,787.38 | $26,205.48 | $42,511.98 | |
Medica
| Facility | $8,898.50 | $15,632.50 | $20,636.09 | |
United
| Facility | $8,898.50 | $8,898.50 | $21,048.56 |