| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.90 | $1,011.44 | $1,011.44 | |
Cigna
| Professional | $220.55 | $300.23 | $320.68 | |
Providence
| Professional | $188.28 | $282.44 | $407.40 | |
United
| Professional | $280.27 | $323.39 | $534.65 |