| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18,551.36 | $64,344.50 | $64,344.50 | |
Cigna
| Facility | $13,847.37 | $23,786.20 | $23,786.20 | |
Cigna
| Professional | $13,847.37 | $19,343.16 | $23,786.20 | |
Providence
| Facility | $10,693.52 | $22,653.52 | $23,786.20 | |
Providence
| Professional | $13,847.37 | $17,852.59 | $23,803.46 | |
United
| Professional | $8,648.52 | $9,568.90 | $15,176.20 |