| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $824.64 | $7,838.38 | $8,644.27 | |
Cigna
| Facility | $4,500.00 | $4,500.00 | $4,500.00 | |
Providence
| Facility | $677.93 | $929.89 | $2,350.00 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |