| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,010.15 | $1,420.97 | $6,124.01 | |
Cigna
| Professional | $1,010.16 | $1,524.82 | $2,079.48 | |
Providence
| Professional | $925.53 | $1,524.82 | $2,142.46 | |
United
| Professional | $1,586.10 | $1,909.36 | $2,249.27 |