| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,630.00 | $12,630.00 | $12,630.00 | |
Cigna
| Facility | $19,147.08 | $22,019.14 | $35,720.67 | |
Medica
| Facility | $7,476.96 | $8,319.82 | $17,339.47 | |
United
| Facility | $7,476.96 | $8,319.82 | $17,686.04 |