| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $860.00 | |
Cigna
| Professional | $216.00 | $283.44 | $360.00 | |
Providence
| Professional | $260.00 | $300.00 | $412.60 | |
United
| Professional | $53.00 | $59.00 | $91.00 |