| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93,611.00 | $149,945.00 | $195,186.00 | |
Cigna
| Facility | $86,255.85 | $149,403.00 | $202,801.55 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
United
| Facility | $6,098.00 | $19,460.00 | $184,955.28 |