| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $766.28 | $766.28 | $3,388.59 | |
Providence
| Facility | $643.91 | $800.74 | $1,034.42 | |
United
| Facility | $1,230.00 | $9,127.00 | $10,150.00 |