| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54,910.00 | $54,910.00 | $54,910.00 | |
Cigna
| Facility | $83,243.56 | $95,730.09 | $155,298.66 | |
Medica
| Facility | $28,165.14 | $32,506.72 | $75,384.84 | |
United
| Facility | $28,165.14 | $32,506.72 | $76,891.57 |