| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14,813.64 | $51,380.40 | $51,380.40 | |
Cigna
| Facility | $11,736.82 | $21,930.29 | $21,930.29 | |
Cigna
| Professional | $11,736.82 | $17,833.93 | $21,930.29 | |
Providence
| Facility | $9,483.78 | $20,885.99 | $21,930.29 | |
Providence
| Professional | $11,736.82 | $16,459.65 | $21,946.20 | |
United
| Professional | $7,670.13 | $8,486.39 | $13,077.26 |