| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $1,131.51 | $1,131.51 | $1,131.51 | |
Providence
| Facility | $635.79 | $1,121.36 | $1,512.28 | |
United
| Facility | $936.00 | $6,599.00 | $7,158.00 |