| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,075.00 | $17,010.30 | $23,531.80 | |
Cigna
| Facility | $6,402.45 | $8,846.23 | $16,408.49 | |
Providence
| Facility | $6,402.45 | $9,135.00 | $16,408.49 | |
United
| Facility | $4,770.50 | $12,655.72 | $17,555.43 |