| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,093.00 | $120,976.00 | $167,356.00 | |
Cigna
| Facility | $45,533.70 | $62,913.71 | $116,695.89 | |
Providence
| Facility | $45,533.70 | $62,913.71 | $116,695.89 | |
United
| Facility | $5,419.00 | $80,523.48 | $124,852.91 |