| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,528.23 | $7,838.38 | $8,942.39 | |
Cigna
| Facility | $1,584.80 | $1,584.80 | $3,456.15 | |
Providence
| Facility | $916.45 | $1,513.94 | $2,119.52 | |
United
| Facility | $1,705.00 | $11,259.00 | $12,494.00 |