| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,089.30 | $8,912.51 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $3,467.37 | |
Providence
| Facility | $794.33 | $1,122.02 | $1,778.28 | |
United
| Facility | $891.25 | $8,912.51 | $25,703.96 |