| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,265.00 | $61,265.00 | $61,265.00 | |
Cigna
| Facility | $92,877.74 | $106,809.40 | $173,272.12 | |
Medica
| Facility | $33,543.46 | $36,268.87 | $84,109.49 | |
United
| Facility | $33,543.46 | $36,268.87 | $85,790.60 |