| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.98 | $7,838.38 | $8,644.27 | |
Cigna
| Facility | $4,500.00 | $4,500.00 | $4,500.00 | |
Providence
| Facility | $604.16 | $767.69 | $2,350.00 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |