| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.66 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $896.98 | $896.98 | $896.98 | |
Providence
| Facility | $675.09 | $880.60 | $1,184.07 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |