| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.32 | $122.26 | $493.87 | |
Cigna
| Professional | $124.70 | $162.96 | $211.27 | |
Providence
| Professional | $116.14 | $164.53 | $233.91 | |
United
| Professional | $190.09 | $208.06 | $223.11 |