| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.14 | $2,095.00 | $7,838.38 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $3,800.00 | |
Providence
| Facility | $292.98 | $432.64 | $2,100.00 | |
United
| Facility | $200.00 | $1,084.00 | $1,401.00 |