| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.98 | $2,145.78 | $7,838.38 | |
Cigna
| Facility | $875.00 | $875.00 | $875.00 | |
Providence
| Facility | $264.70 | $487.46 | $631.60 | |
United
| Facility | $639.00 | $5,971.00 | $8,422.00 |