| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.86 | $453.92 | $1,723.83 | |
Cigna
| Professional | $214.00 | $376.93 | $543.01 | |
Providence
| Professional | $270.24 | $407.33 | $631.13 | |
United
| Professional | $442.17 | $528.95 | $587.51 |