| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $342.59 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $371.82 | $371.82 | $371.82 | |
Providence
| Facility | $312.39 | $393.85 | $491.88 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |