| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63,263.30 | $107,450.00 | $147,472.00 | |
Cigna
| Facility | $15,547.00 | $116,369.40 | $177,130.76 | |
Providence
| Facility | $14,461.00 | $96,988.77 | $183,088.77 | |
United
| Facility | $6,974.00 | $64,447.00 | $153,298.75 |