| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.16 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $875.00 | $875.00 | $875.00 | |
Providence
| Facility | $373.77 | $454.85 | $875.00 | |
United
| Facility | $559.00 | $3,085.00 | $5,060.00 |