| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.84 | $163.80 | $309.94 | |
Cigna
| Professional | $131.68 | $218.63 | $300.13 | |
Providence
| Professional | $163.36 | $250.89 | $357.00 | |
United
| Professional | $235.05 | $285.60 | $326.39 |