| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,548.82 | $8,709.64 | |
Cigna
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
Providence
| Facility | $436.52 | $512.86 | $1,023.29 | |
United
| Facility | $562.34 | $4,265.80 | $10,000.00 |