| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,432.50 | $112,059.00 | $155,020.00 | |
Cigna
| Facility | $42,177.31 | $58,276.19 | $108,093.96 | |
Providence
| Facility | $42,177.31 | $58,276.19 | $108,093.96 | |
United
| Facility | $5,419.00 | $74,587.91 | $115,649.70 |