| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55,106.00 | $184,703.00 | $255,516.00 | |
Cigna
| Facility | $69,519.86 | $96,055.27 | $178,168.72 | |
Providence
| Facility | $69,519.86 | $96,055.27 | $178,168.72 | |
United
| Facility | $5,419.00 | $122,941.49 | $190,622.68 |