| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $1,261.02 | $1,261.02 | $1,261.02 | |
Providence
| Facility | $986.22 | $1,261.02 | $1,637.10 | |
United
| Facility | $2,002.00 | $15,131.00 | $16,269.00 |