| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $1,720.00 | |
Cigna
| Professional | $486.00 | $637.74 | $810.00 | |
Providence
| Professional | $585.00 | $667.35 | $825.20 | |
United
| Professional | $52.00 | $59.00 | $91.00 |