| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,392.50 | $20,392.50 | $20,392.50 | |
Cigna
| Facility | $30,915.03 | $35,552.28 | $57,674.88 | |
Medica
| Facility | $11,992.44 | $12,072.36 | $27,996.46 | |
United
| Facility | $11,992.44 | $12,072.36 | $28,556.03 |