| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.00 | $992.00 | $10,126.00 | |
Cigna
| Facility | $750.00 | $824.00 | $4,635.00 | |
Providence
| Facility | $750.00 | $824.00 | $4,635.00 | |
United
| Facility | $735.00 | $2,295.00 | $5,285.00 |