| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $1,621.81 | $7,762.47 | |
Cigna
| Facility | $3,801.89 | $3,801.89 | $3,801.89 | |
Providence
| Facility | $1,202.26 | $1,621.81 | $1,949.84 | |
United
| Facility | $645.65 | $6,025.60 | $10,000.00 |