| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $1,204.00 | |
Cigna
| Professional | $324.00 | $425.16 | $540.00 | |
Providence
| Professional | $390.00 | $450.00 | $577.64 | |
United
| Professional | $52.00 | $59.00 | $91.00 |