| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,380.38 | $7,762.47 | |
Cigna
| Facility | $977.24 | $977.24 | $1,659.59 | |
Providence
| Facility | $457.09 | $676.08 | $1,174.90 | |
United
| Facility | $562.34 | $3,467.37 | $12,022.64 |