| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $58,766.70 | $95,976.10 | |
Cigna
| Facility | $114,459.63 | $114,459.63 | $114,459.63 | |
Medica
| Facility | $55,364.16 | $96,991.09 | $122,274.05 | |
United
| Facility | $55,364.16 | $97,798.48 | $128,243.00 |