| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.64 | $57.75 | $319.27 | |
Cigna
| Professional | $38.44 | $50.41 | $100.69 | |
Providence
| Professional | $38.44 | $58.37 | $115.07 | |
United
| Professional | $88.92 | $100.09 | $108.37 |