| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,568.00 | $25,366.30 | $35,091.30 | |
Cigna
| Facility | $9,547.53 | $13,191.78 | $24,468.86 | |
Providence
| Facility | $9,547.53 | $13,191.78 | $24,468.86 | |
United
| Facility | $5,419.00 | $16,884.21 | $26,179.23 |