| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $18,067.59 | |
Cigna
| Facility | $298.02 | $298.02 | $298.02 | |
Providence
| Facility | $236.89 | $309.67 | $419.22 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |