| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.86 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $883.82 | $883.82 | $883.82 | |
Providence
| Facility | $710.54 | $902.98 | $1,141.58 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |