| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $436.76 | $436.76 | $1,023.75 | |
Providence
| Facility | $245.53 | $668.48 | $1,721.76 | |
United
| Facility | $755.00 | $3,085.00 | $5,060.00 |