| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.00 | $229.75 | $1,009.30 | |
Cigna
| Professional | $250.72 | $309.04 | $465.60 | |
Providence
| Professional | $250.72 | $348.98 | $547.75 | |
United
| Professional | $413.56 | $489.53 | $534.92 |