| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $707.95 | $7,762.47 | |
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
Providence
| Facility | $208.93 | $489.78 | $691.83 | |
United
| Facility | $645.65 | $6,025.60 | $10,471.29 |