| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,193.00 | $57,627.20 | $79,720.50 | |
Cigna
| Facility | $21,690.10 | $29,969.12 | $55,588.41 | |
Providence
| Facility | $21,690.10 | $29,969.12 | $55,588.41 | |
United
| Facility | $5,419.00 | $38,357.58 | $59,474.03 |