| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $1,577.78 | $1,577.78 | $1,577.78 | |
Providence
| Facility | $1,325.24 | $1,677.69 | $2,150.05 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |