| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $1,548.00 | |
Cigna
| Professional | $432.00 | $566.88 | $720.00 | |
Providence
| Professional | $520.00 | $593.20 | $742.68 | |
United
| Professional | $52.00 | $60.00 | $91.00 |