| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.87 | $1,079.22 | $22,026.90 | |
Cigna
| Professional | $330.20 | $353.86 | $6,456.71 | |
Providence
| Professional | $218.36 | $3,539.57 | $6,456.71 | |
United
| Professional | $5,368.80 | $6,625.34 | $10,382.19 |