| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,882.00 | $49,881.20 | $69,004.89 | |
Cigna
| Facility | $18,774.63 | $25,940.81 | $48,116.48 | |
Providence
| Facility | $18,774.63 | $25,940.81 | $48,116.48 | |
United
| Facility | $5,419.00 | $33,201.74 | $51,479.81 |