| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.07 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $154.84 | $154.84 | $176.22 | |
Providence
| Facility | $99.00 | $133.07 | $181.10 | |
United
| Facility | $200.00 | $1,084.00 | $1,327.00 |