| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.00 | $662.00 | $1,731.00 | |
Cigna
| Facility | $300.00 | $350.00 | $1,100.00 | |
Providence
| Facility | $300.00 | $350.00 | $1,100.00 | |
United
| Facility | $644.00 | $1,205.00 | $2,295.00 |