| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $620.14 | $855.03 | $3,246.76 | |
Cigna
| Professional | $595.66 | $957.48 | $1,352.57 | |
Providence
| Professional | $707.69 | $1,116.88 | $1,636.60 | |
United
| Professional | $1,111.29 | $1,332.26 | $1,470.08 |