| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.56 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $574.02 | $574.02 | $1,651.99 | |
Providence
| Facility | $329.61 | $460.25 | $616.84 | |
United
| Facility | $755.00 | $3,085.00 | $5,060.00 |