| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.00 | $1,326.88 | $2,649.00 | |
Cigna
| Facility | $300.00 | $1,325.00 | $1,913.00 | |
Providence
| Facility | $300.00 | $1,325.00 | $1,913.00 | |
United
| Facility | $735.00 | $1,314.00 | $2,241.00 |