| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.00 | $2,084.00 | $6,083.00 | |
Cigna
| Facility | $400.00 | $1,525.00 | $3,708.00 | |
Providence
| Facility | $400.00 | $1,525.00 | $3,708.00 | |
United
| Facility | $725.00 | $1,610.00 | $6,618.00 |