| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $992.00 | $2,257.00 | $11,855.00 | |
Cigna
| Facility | $400.00 | $1,250.00 | $4,841.00 | |
Providence
| Facility | $400.00 | $1,250.00 | $4,841.00 | |
United
| Facility | $735.00 | $2,295.00 | $5,787.00 |