| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $870.96 | $7,762.47 | |
Cigna
| Facility | $676.08 | $676.08 | $776.25 | |
Providence
| Facility | $398.11 | $575.44 | $1,000.00 | |
United
| Facility | $562.34 | $3,467.37 | $6,760.83 |