| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.45 | $7,838.38 | $8,763.29 | |
Cigna
| Facility | $2,700.00 | $2,700.00 | $2,700.00 | |
Providence
| Facility | $418.80 | $479.00 | $980.00 | |
United
| Facility | $559.00 | $3,085.00 | $5,060.00 |