| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76,516.30 | $76,516.30 | $76,516.30 | |
Cigna
| Facility | $115,998.64 | $133,398.43 | $216,406.32 | |
Medica
| Facility | $40,285.60 | $45,297.62 | $105,047.63 | |
United
| Facility | $40,285.60 | $45,297.62 | $107,147.24 |