| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,637.00 | $72,522.60 | $100,326.00 | |
Cigna
| Facility | $27,296.50 | $37,715.44 | $69,956.75 | |
Providence
| Facility | $27,296.50 | $37,715.44 | $69,956.75 | |
United
| Facility | $5,419.00 | $48,272.15 | $74,846.71 |