| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101,501.00 | $101,501.00 | $101,501.00 | |
Cigna
| Facility | $255,199.17 | $255,199.17 | $255,199.17 | |
Medica
| Facility | $47,642.76 | $67,132.98 | $121,299.91 | |
United
| Facility | $47,642.76 | $67,132.98 | $123,279.25 |