| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.64 | $414.52 | $504.24 | |
Cigna
| Professional | $435.06 | $607.61 | $810.73 | |
Providence
| Professional | $435.06 | $640.45 | $890.38 | |
United
| Professional | $709.28 | $783.44 | $864.50 |