| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.00 | $968.00 | $2,548.00 | |
Cigna
| Facility | $500.00 | $900.00 | $1,051.00 | |
Providence
| Facility | $500.00 | $900.00 | $1,051.00 | |
United
| Facility | $733.00 | $1,059.00 | $2,295.00 |