| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,882.33 | |
Cigna
| Facility | $766.05 | $766.05 | $8,477.08 | |
Providence
| Facility | $427.81 | $1,176.40 | $8,477.08 | |
United
| Facility | $2,002.00 | $15,131.00 | $16,269.00 |