| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $7,838.38 | $8,763.29 | |
Cigna
| Facility | $1,719.01 | $1,719.01 | $1,719.01 | |
Providence
| Facility | $1,444.24 | $1,826.04 | $2,255.29 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |