| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,525.01 | $7,838.38 | $8,644.27 | |
Cigna
| Facility | $1,648.88 | $1,648.88 | $1,648.88 | |
Providence
| Facility | $1,328.48 | $1,690.79 | $2,159.65 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |