| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $2,418.19 | $2,418.19 | $2,418.19 | |
Providence
| Facility | $1,569.04 | $2,353.56 | $3,119.55 | |
United
| Facility | $936.00 | $6,599.00 | $7,158.00 |