| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.48 | $2,095.00 | $7,838.38 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $3,800.00 | |
Providence
| Facility | $693.08 | $942.25 | $2,100.00 | |
United
| Facility | $790.00 | $7,773.00 | $13,891.00 |