| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,955.00 | $64,955.00 | $64,955.00 | |
Cigna
| Facility | $98,471.78 | $113,242.55 | $183,708.33 | |
Medica
| Facility | $38,453.36 | $40,922.00 | $89,175.42 | |
United
| Facility | $38,453.36 | $40,922.00 | $90,957.79 |