| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,192.00 | $8,192.00 | $8,192.00 | |
Cigna
| Facility | $1,900.00 | $1,900.00 | $1,900.00 | |
Providence
| Facility | $1,900.00 | $1,900.00 | $1,900.00 | |
United
| Facility | $500.00 | $1,168.00 | $1,854.00 |