| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,685.00 | $1,685.00 | $2,286.80 | |
Cigna
| Facility | $400.00 | $475.00 | $600.00 | |
Providence
| Facility | $425.00 | $475.00 | $600.00 | |
United
| Facility | $500.00 | $500.00 | $1,168.00 |