| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,648.00 | $89,318.30 | $123,561.00 | |
Cigna
| Facility | $33,618.21 | $46,450.13 | $86,158.31 | |
Providence
| Facility | $33,618.21 | $46,450.13 | $86,158.31 | |
United
| Facility | $5,419.00 | $59,451.69 | $92,180.76 |