| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,092.50 | $77,401.10 | $107,075.00 | |
Cigna
| Facility | $29,132.71 | $40,252.54 | $74,662.67 | |
Providence
| Facility | $29,132.71 | $40,252.54 | $74,662.67 | |
United
| Facility | $5,419.00 | $51,519.37 | $79,881.58 |