| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,071.50 | $40,461.10 | $55,973.10 | |
Cigna
| Facility | $15,228.99 | $21,041.83 | $39,029.57 | |
Providence
| Facility | $15,228.99 | $21,041.83 | $39,029.57 | |
United
| Facility | $5,419.00 | $26,931.52 | $41,757.73 |