| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,723.50 | $19,183.90 | $26,538.70 | |
Cigna
| Facility | $7,220.57 | $9,976.62 | $18,505.22 | |
Providence
| Facility | $7,220.57 | $9,976.62 | $18,505.22 | |
United
| Facility | $5,380.09 | $12,769.13 | $19,798.73 |