| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,033.00 | $100,664.00 | $139,257.00 | |
Cigna
| Facility | $37,888.61 | $52,350.52 | $97,102.70 | |
Providence
| Facility | $37,888.61 | $52,350.52 | $97,102.70 | |
United
| Facility | $5,419.00 | $67,003.62 | $103,890.15 |