| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $930.94 | $7,838.38 | $7,838.38 | |
Cigna
| Facility | $1,016.10 | $1,016.10 | $1,016.10 | |
Providence
| Facility | $758.27 | $990.41 | $1,334.94 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 |