| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266,881.00 | $266,881.00 | $266,881.00 | |
Cigna
| Facility | $404,591.98 | $465,280.77 | $754,804.23 | |
Medica
| Facility | $125,339.72 | $157,993.70 | $366,395.93 | |
United
| Facility | $125,339.72 | $157,993.70 | $373,719.15 |