| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59,510.00 | $59,510.00 | $59,510.00 | |
Cigna
| Facility | $90,217.16 | $103,749.73 | $168,308.56 | |
Medica
| Facility | $35,229.92 | $45,188.84 | $81,700.09 | |
United
| Facility | $35,229.92 | $45,188.84 | $83,333.03 |