| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52,700.00 | $52,700.00 | $52,700.00 | |
Cigna
| Facility | $79,893.20 | $91,877.18 | $149,048.25 | |
Medica
| Facility | $26,074.64 | $31,198.40 | $72,350.78 | |
United
| Facility | $26,074.64 | $31,198.40 | $73,796.86 |