| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $1,380.38 | $7,762.47 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Providence
| Facility | $645.65 | $776.25 | $1,174.90 | |
United
| Facility | $645.65 | $6,025.60 | $10,471.29 |