| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $1,380.38 | $7,762.47 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Providence
| Facility | $194.98 | $281.84 | $501.19 | |
United
| Facility | $562.34 | $3,467.37 | $8,317.64 |