| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $58,153.30 | $94,974.20 | |
Cigna
| Facility | $113,264.84 | $113,264.84 | $113,264.84 | |
Medica
| Facility | $54,786.24 | $95,978.64 | $120,997.69 | |
United
| Facility | $54,786.24 | $96,777.61 | $126,904.34 |