| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $2,290.87 | $8,912.51 | |
Cigna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Providence
| Facility | $1,348.96 | $1,819.70 | $3,019.95 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 |