| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,831.00 | $93,283.50 | $129,047.00 | |
Cigna
| Facility | $35,110.64 | $48,512.22 | $89,983.19 | |
Providence
| Facility | $35,110.64 | $48,512.22 | $89,983.19 | |
United
| Facility | $5,419.00 | $62,090.96 | $96,273.00 |