| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $907.26 | $907.26 | $3,456.15 | |
Providence
| Facility | $756.38 | $943.41 | $1,218.06 | |
United
| Facility | $1,705.00 | $11,259.00 | $12,494.00 |