| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $1,538.63 | $1,538.63 | $1,538.63 | |
Providence
| Facility | $1,003.76 | $1,527.80 | $2,093.29 | |
United
| Facility | $1,705.00 | $11,259.00 | $12,494.00 |