| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,974.50 | $40,135.90 | $55,523.40 | |
Cigna
| Facility | $15,106.62 | $20,872.75 | $38,715.94 | |
Providence
| Facility | $15,106.62 | $20,872.75 | $38,715.94 | |
United
| Facility | $5,419.00 | $26,715.11 | $41,422.19 |