| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,813.80 | $21,813.80 | $21,813.80 | |
Cigna
| Facility | $33,069.65 | $33,069.65 | $38,030.08 | |
Medica
| Facility | $12,104.18 | $12,913.74 | $29,947.66 | |
United
| Facility | $12,104.18 | $12,913.74 | $30,546.23 |