| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,835.50 | $96,650.40 | $133,704.00 | |
Cigna
| Facility | $36,377.89 | $50,263.16 | $93,230.94 | |
Providence
| Facility | $36,377.89 | $50,263.16 | $93,230.94 | |
United
| Facility | $5,419.00 | $64,332.00 | $99,747.76 |