| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $968.42 | $7,838.38 | $8,763.29 | |
Cigna
| Facility | $2,700.00 | $2,700.00 | $2,700.00 | |
Providence
| Facility | $889.10 | $1,147.95 | $2,000.00 | |
United
| Facility | $790.00 | $7,773.00 | $13,891.00 |