| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $1,548.82 | $8,709.64 | |
Cigna
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
Providence
| Facility | $776.25 | $954.99 | $1,949.84 | |
United
| Facility | $645.65 | $6,606.93 | $18,197.01 |