| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.84 | $710.30 | $1,295.40 | |
Cigna
| Professional | $180.56 | $232.14 | $399.25 | |
Providence
| Professional | $178.74 | $256.00 | $435.79 | |
United
| Professional | $358.43 | $401.69 | $435.43 |