| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.74 | $5,000.27 | $7,838.38 | |
Cigna
| Facility | $1,300.00 | $1,300.00 | $1,300.00 | |
Providence
| Facility | $359.49 | $524.23 | $729.28 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |