| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $4,265.80 | $7,762.47 | |
Cigna
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
Providence
| Facility | $2,570.40 | $3,630.78 | $6,309.57 | |
United
| Facility | $562.34 | $5,011.87 | $17,782.79 |