| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,606.50 | $102,586.00 | $141,916.00 | |
Cigna
| Facility | $38,612.12 | $53,350.19 | $98,956.94 | |
Providence
| Facility | $38,612.12 | $53,350.19 | $98,956.94 | |
United
| Facility | $5,419.00 | $68,283.10 | $105,874.00 |