| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,815.00 | $29,546.00 | $40,873.40 | |
Cigna
| Facility | $11,120.70 | $15,365.43 | $28,500.66 | |
Providence
| Facility | $11,120.70 | $15,365.43 | $28,500.66 | |
United
| Facility | $5,419.00 | $19,666.27 | $30,492.85 |