| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $766.09 | $8,832.00 | $8,832.00 | |
Cigna
| Professional | $784.55 | $784.55 | $784.55 | |
Providence
| Professional | $784.55 | $1,003.20 | $1,003.20 | |
United
| Professional | $769.17 | $769.17 | $769.17 |