| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,102.50 | $67,379.20 | $93,211.30 | |
Cigna
| Facility | $25,360.63 | $35,040.67 | $64,995.40 | |
Providence
| Facility | $25,360.63 | $35,040.67 | $64,995.40 | |
United
| Facility | $5,419.00 | $44,848.68 | $69,538.57 |