| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.00 | $992.00 | $4,823.00 | |
Cigna
| Facility | $375.00 | $464.00 | $4,635.00 | |
Providence
| Facility | $375.00 | $464.00 | $4,635.00 | |
United
| Facility | $725.00 | $1,103.00 | $1,705.00 |