| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152,901.00 | $152,901.00 | $152,901.00 | |
Cigna
| Facility | $117,527.27 | $121,670.30 | $121,670.30 | |
Medica
| Facility | $71,769.06 | $101,129.13 | $186,046.02 | |
United
| Facility | $71,769.06 | $101,129.13 | $185,707.88 |