| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $35.00 | $688.00 | |
Cigna
| Professional | $162.00 | $212.58 | $270.00 | |
Providence
| Professional | $195.00 | $225.00 | $330.08 | |
United
| Professional | $53.00 | $59.00 | $91.00 |