| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $3,340.46 | $3,340.46 | $3,340.46 | |
Providence
| Facility | $1,891.82 | $3,225.37 | $4,485.25 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |