| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,652.00 | $119,498.00 | $165,311.00 | |
Cigna
| Facility | $44,977.35 | $62,145.00 | $115,270.05 | |
Providence
| Facility | $44,977.35 | $62,145.00 | $115,270.05 | |
United
| Facility | $5,419.00 | $79,539.61 | $123,327.40 |