| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154,969.00 | $154,969.00 | $154,969.00 | |
Cigna
| Facility | $389,632.48 | $389,632.48 | $389,632.48 | |
Medica
| Facility | $72,739.92 | $102,497.16 | $178,898.88 | |
United
| Facility | $72,739.92 | $102,497.16 | $188,220.05 |