| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.82 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $852.18 | $852.18 | $852.18 | |
Providence
| Facility | $670.47 | $853.33 | $1,125.24 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |