| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.51 | $2,095.00 | $7,838.38 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $3,800.00 | |
Providence
| Facility | $587.58 | $782.01 | $2,100.00 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |