| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.67 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $875.00 | $875.00 | $875.00 | |
Providence
| Facility | $346.08 | $415.29 | $875.00 | |
United
| Facility | $200.00 | $1,084.00 | $1,401.00 |