| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $492.29 | $492.29 | $1,651.99 | |
Providence
| Facility | $404.12 | $503.52 | $653.54 | |
United
| Facility | $936.00 | $6,599.00 | $7,158.00 |