| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $2,752.00 | |
Cigna
| Professional | $810.00 | $1,062.90 | $1,350.00 | |
Providence
| Professional | $968.00 | $1,112.25 | $1,320.32 | |
United
| Professional | $53.00 | $59.00 | $91.00 |