| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,006.29 | $10,006.29 | $10,006.29 | |
Cigna
| Facility | $15,169.48 | $17,444.90 | $28,300.08 | |
Medica
| Facility | $5,717.24 | $5,923.70 | $13,737.38 | |
United
| Facility | $5,717.24 | $5,923.70 | $14,011.95 |