| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,014.52 | $7,838.38 | $8,942.39 | |
Cigna
| Facility | $2,086.03 | $2,086.03 | $3,456.15 | |
Providence
| Facility | $1,102.40 | $2,014.52 | $2,782.92 | |
United
| Facility | $1,705.00 | $11,259.00 | $12,494.00 |