| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69,183.10 | $69,183.10 | $69,183.10 | |
Cigna
| Facility | $107,151.93 | $123,026.88 | $194,984.46 | |
Medica
| Facility | $40,738.03 | $40,738.03 | $93,325.43 | |
United
| Facility | $40,738.03 | $72,443.60 | $93,325.43 |