| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75,103.80 | $75,103.80 | $75,103.80 | |
Cigna
| Facility | $113,857.29 | $130,935.88 | $212,411.43 | |
Medica
| Facility | $41,133.64 | $44,461.42 | $103,108.44 | |
United
| Facility | $41,133.64 | $44,461.42 | $105,169.28 |