| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,010.00 | $53,010.00 | $53,010.00 | |
Cigna
| Facility | $149,925.00 | $149,925.00 | $149,925.00 | |
Medica
| Facility | $31,381.92 | $55,130.40 | $72,776.37 | |
United
| Facility | $31,381.92 | $57,059.96 | $74,230.96 |