| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83,520.00 | $83,520.00 | $83,520.00 | |
Cigna
| Facility | $236,214.60 | $236,214.60 | $236,214.60 | |
Medica
| Facility | $49,443.84 | $86,860.80 | $114,662.94 | |
United
| Facility | $49,443.84 | $49,443.84 | $116,954.73 |