| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,272.00 | $27,726.00 | $38,355.60 | |
Cigna
| Facility | $10,435.67 | $14,418.92 | $26,745.03 | |
Providence
| Facility | $10,435.67 | $14,715.40 | $26,745.03 | |
United
| Facility | $5,419.00 | $18,454.83 | $28,614.50 |