| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,545.00 | $2,257.00 | $8,406.00 | |
Cigna
| Facility | $400.00 | $1,725.00 | $4,841.00 | |
Providence
| Facility | $400.00 | $1,725.00 | $4,841.00 | |
United
| Facility | $725.00 | $1,705.00 | $6,071.00 |