| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $715.84 | $3,575.44 | $4,857.99 | |
Cigna
| Professional | $853.22 | $1,108.71 | $1,475.39 | |
Providence
| Professional | $702.75 | $1,081.09 | $1,503.27 | |
United
| Professional | $1,206.41 | $1,519.60 | $2,592.78 |