| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,688.79 | $54,415.80 | $54,415.80 | |
Cigna
| Facility | $12,562.99 | $22,201.03 | $22,201.03 | |
Cigna
| Professional | $12,562.99 | $18,054.09 | $22,201.03 | |
Providence
| Facility | $9,759.69 | $21,143.84 | $22,201.03 | |
Providence
| Professional | $12,562.99 | $16,662.86 | $22,217.15 | |
United
| Professional | $7,893.27 | $8,733.27 | $13,457.71 |