| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56,594.00 | $189,691.00 | $262,415.00 | |
Cigna
| Facility | $71,397.07 | $98,649.00 | $182,979.72 | |
Providence
| Facility | $71,397.07 | $98,649.00 | $182,979.72 | |
United
| Facility | $5,419.00 | $126,261.21 | $195,769.96 |