| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112,620.00 | $112,620.00 | $112,620.00 | |
Cigna
| Facility | $318,516.39 | $318,516.39 | $318,516.39 | |
Medica
| Facility | $66,671.03 | $117,124.80 | $154,613.75 | |
United
| Facility | $66,671.03 | $66,671.03 | $157,704.04 |