| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $984.68 | $2,095.00 | $7,838.38 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $3,800.00 | |
Providence
| Facility | $817.07 | $1,115.00 | $2,362.50 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |