| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,755.00 | $52,807.40 | $73,052.80 | |
Cigna
| Facility | $19,875.97 | $27,462.54 | $50,939.07 | |
Providence
| Facility | $19,875.97 | $27,462.54 | $50,939.07 | |
United
| Facility | $5,419.00 | $35,149.41 | $54,499.70 |