| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,711.25 | $7,711.25 | $7,711.25 | |
Cigna
| Facility | $11,690.26 | $11,690.26 | $13,443.79 | |
Medica
| Facility | $3,879.82 | $4,565.06 | $10,586.62 | |
United
| Facility | $3,879.82 | $4,565.06 | $10,798.22 |