| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $129.11 | $129.11 | $579.87 | |
Providence
| Facility | $108.12 | $164.92 | $213.57 | |
United
| Facility | $755.00 | $3,085.00 | $5,060.00 |