| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.20 | $229.25 | $303.76 | |
Cigna
| Professional | $213.47 | $229.31 | $435.92 | |
Providence
| Professional | $138.80 | $277.20 | $444.30 | |
United
| Professional | $350.15 | $434.56 | $765.91 |