| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.48 | $65.48 | $214.17 | |
Cigna
| Professional | $137.88 | $901.95 | $1,002.17 | |
Providence
| Professional | $901.95 | $901.95 | $1,002.17 | |
United
| Professional | $107.73 | $124.84 | $146.74 |