| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100,320.00 | $100,320.00 | $100,320.00 | |
Cigna
| Facility | $77,110.75 | $79,829.03 | $79,829.03 | |
Medica
| Facility | $47,088.36 | $66,351.78 | $129,428.78 | |
United
| Facility | $47,088.36 | $66,351.78 | $121,844.70 |