| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126,684.00 | $126,684.00 | $126,684.00 | |
Cigna
| Facility | $318,516.39 | $318,516.39 | $318,516.39 | |
Medica
| Facility | $59,463.36 | $83,789.28 | $142,440.76 | |
United
| Facility | $59,463.36 | $83,789.28 | $153,865.95 |