| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $3,981.07 | $7,762.47 | |
Cigna
| Facility | $4,365.16 | $4,365.16 | $4,365.16 | |
Providence
| Facility | $1,949.84 | $2,754.23 | $5,128.61 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 |