| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141,648.00 | $141,648.00 | $141,648.00 | |
Cigna
| Facility | $214,737.61 | $214,737.61 | $246,948.25 | |
Medica
| Facility | $83,855.32 | $112,821.88 | $194,465.02 | |
United
| Facility | $83,855.32 | $112,821.88 | $198,351.83 |