| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,654.70 | $20,654.70 | $20,654.70 | |
Aetna
| Professional | $15,662.00 | $33,195.05 | $33,195.05 | |
Cigna
| Professional | $31,019.05 | $31,019.05 | $47,634.02 | |
Providence
| Facility | $27,706.21 | $27,706.21 | $27,706.21 | |
Providence
| Professional | $31,019.05 | $31,019.05 | $63,750.38 | |
United
| Professional | $19,874.21 | $19,874.21 | $33,123.69 |