| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $601.08 | $7,838.38 | $8,763.29 | |
Cigna
| Facility | $2,700.00 | $2,700.00 | $2,700.00 | |
Providence
| Facility | $509.64 | $677.67 | $2,000.00 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |