| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72,088.80 | $72,088.80 | $72,088.80 | |
Cigna
| Facility | $203,884.29 | $203,884.29 | $203,884.29 | |
Medica
| Facility | $42,676.54 | $74,972.30 | $98,969.20 | |
United
| Facility | $42,676.54 | $42,676.54 | $100,947.32 |