| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68,623.80 | $68,623.80 | $68,623.80 | |
Cigna
| Facility | $104,033.61 | $119,638.65 | $194,084.43 | |
Medica
| Facility | $40,625.26 | $40,654.86 | $94,212.17 | |
United
| Facility | $40,625.26 | $40,654.86 | $96,095.21 |