| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69,037.50 | $69,037.50 | $69,037.50 | |
Cigna
| Facility | $104,660.85 | $120,359.98 | $195,254.62 | |
Medica
| Facility | $36,204.50 | $40,870.19 | $94,780.20 | |
United
| Facility | $36,204.50 | $40,870.19 | $96,674.59 |