| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.81 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,521.74 | $3,750.06 | $6,115.85 | |
Cigna
| Facility | $348.99 | $348.99 | $839.09 | |
Providence
| Facility | $195.11 | $541.98 | $974.04 | |
United
| Facility | $755.00 | $3,085.00 | $5,060.00 |