| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76,605.00 | $76,605.00 | $76,605.00 | |
Cigna
| Facility | $116,133.18 | $133,553.16 | $216,657.33 | |
Medica
| Facility | $45,350.16 | $57,368.50 | $105,169.47 | |
United
| Facility | $45,350.16 | $57,368.50 | $107,271.51 |