| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,030.00 | $57,030.00 | $57,030.00 | |
Cigna
| Facility | $86,457.48 | $99,426.10 | $161,294.53 | |
Medica
| Facility | $33,761.76 | $40,347.76 | $78,295.35 | |
United
| Facility | $33,761.76 | $40,347.76 | $79,860.25 |