| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105,374.00 | $105,374.00 | $105,374.00 | |
Cigna
| Facility | $159,746.60 | $183,708.60 | $298,022.25 | |
Medica
| Facility | $60,031.02 | $62,381.26 | $144,665.51 | |
United
| Facility | $60,031.02 | $62,381.26 | $147,556.97 |