| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $1,892.00 | |
Cigna
| Professional | $540.00 | $708.60 | $900.00 | |
Providence
| Professional | $650.00 | $741.50 | $907.72 | |
United
| Professional | $52.00 | $60.00 | $92.65 |