| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141,485.00 | $141,485.00 | $141,485.00 | |
Cigna
| Facility | $400,153.54 | $400,153.54 | $400,153.54 | |
Medica
| Facility | $83,759.12 | $147,144.40 | $194,241.93 | |
United
| Facility | $83,759.12 | $83,759.12 | $198,124.28 |