| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137,765.00 | $137,765.00 | $137,765.00 | |
Cigna
| Facility | $389,632.48 | $389,632.48 | $389,632.48 | |
Medica
| Facility | $81,556.88 | $143,275.60 | $189,134.81 | |
United
| Facility | $81,556.88 | $81,556.88 | $192,915.08 |