| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128,881.00 | $128,881.00 | $128,881.00 | |
Cigna
| Facility | $195,383.98 | $195,383.98 | $224,691.57 | |
Medica
| Facility | $76,297.70 | $77,248.60 | $176,938.49 | |
United
| Facility | $76,297.70 | $77,248.60 | $180,474.99 |