| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,604.00 | $45,597.70 | $63,079.00 | |
Cigna
| Facility | $17,162.34 | $23,713.13 | $43,984.45 | |
Providence
| Facility | $17,162.34 | $23,713.13 | $43,984.45 | |
United
| Facility | $5,419.00 | $30,350.52 | $47,058.96 |