| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12,758.54 | $44,252.30 | $44,252.30 | |
Cigna
| Facility | $9,907.40 | $20,241.25 | $20,241.25 | |
Cigna
| Professional | $9,907.40 | $16,460.39 | $20,241.25 | |
Providence
| Facility | $8,060.69 | $19,277.39 | $20,241.25 | |
Providence
| Professional | $9,907.40 | $15,191.96 | $20,255.95 | |
United
| Professional | $6,519.19 | $7,212.96 | $11,439.71 |