| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $1,905.46 | $7,762.47 | |
Cigna
| Facility | $2,089.30 | $2,089.30 | $2,089.30 | |
Providence
| Facility | $1,148.15 | $1,513.56 | $2,511.89 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 |