| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.22 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $240.25 | $240.25 | $240.25 | |
Providence
| Facility | $134.11 | $343.94 | $620.15 | |
United
| Facility | $200.00 | $1,158.00 | $1,327.00 |