| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $8,763.29 | $26,656.81 | |
Cigna
| Facility | $1,281.96 | $1,281.96 | $1,281.96 | |
Providence
| Facility | $1,075.20 | $1,312.00 | $1,683.76 | |
United
| Facility | $2,002.00 | $15,131.00 | $16,269.00 |