| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81,091.20 | $81,091.20 | $81,091.20 | |
Cigna
| Facility | $203,884.29 | $203,884.29 | $203,884.29 | |
Medica
| Facility | $38,062.86 | $53,634.03 | $93,425.20 | |
United
| Facility | $38,062.86 | $53,634.03 | $98,490.53 |