| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161,878.00 | $161,878.00 | $161,878.00 | |
Cigna
| Facility | $245,406.29 | $245,406.29 | $282,217.23 | |
Medica
| Facility | $72,461.53 | $95,831.48 | $222,238.38 | |
United
| Facility | $72,461.53 | $95,831.48 | $226,680.30 |