| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,162.28 | $8,709.64 | |
Cigna
| Facility | $3,548.13 | $3,548.13 | $3,548.13 | |
Providence
| Facility | $1,995.26 | $2,691.53 | $4,570.88 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 |