| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,187.00 | $44,200.00 | $61,145.50 | |
Cigna
| Facility | $16,636.27 | $22,986.26 | $42,636.21 | |
Providence
| Facility | $16,636.27 | $23,736.60 | $42,636.21 | |
United
| Facility | $5,419.00 | $29,420.20 | $45,616.47 |