| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $563.57 | $563.57 | $4,761.66 | |
Providence
| Facility | $314.83 | $861.95 | $1,662.75 | |
United
| Facility | $1,230.00 | $9,127.00 | $10,150.00 |