| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,408.00 | $111,976.00 | $154,906.00 | |
Cigna
| Facility | $42,146.40 | $58,233.48 | $108,014.75 | |
Providence
| Facility | $42,146.40 | $58,233.48 | $108,014.75 | |
United
| Facility | $5,419.00 | $74,533.25 | $115,564.95 |