| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,052.00 | $53,802.80 | $74,429.89 | |
Cigna
| Facility | $20,250.66 | $27,980.24 | $51,899.33 | |
Providence
| Facility | $20,250.66 | $27,980.24 | $51,899.33 | |
United
| Facility | $5,419.00 | $35,812.01 | $55,527.08 |