| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $134.12 | $134.12 | $134.12 | |
Providence
| Facility | $111.17 | $143.79 | $179.27 | |
United
| Facility | $755.00 | $3,085.00 | $5,060.00 |