| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $73,557.50 | $120,132.00 | |
Cigna
| Facility | $143,267.54 | $143,267.54 | $143,267.54 | |
Medica
| Facility | $69,298.56 | $121,402.41 | $153,048.76 | |
United
| Facility | $69,298.56 | $122,413.02 | $160,520.01 |