| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $704.57 | $7,838.38 | $8,942.39 | |
Cigna
| Facility | $6,100.00 | $6,100.00 | $6,100.00 | |
Providence
| Facility | $586.05 | $745.24 | $3,150.00 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |