| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,110.00 | $94,218.60 | $130,340.00 | |
Cigna
| Facility | $35,462.62 | $48,998.54 | $90,885.25 | |
Providence
| Facility | $35,462.62 | $48,998.54 | $90,885.25 | |
United
| Facility | $5,419.00 | $62,713.41 | $97,238.11 |