| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.88 | $678.67 | $678.67 | |
Cigna
| Professional | $153.13 | $206.64 | $222.91 | |
Providence
| Professional | $123.58 | $185.38 | $267.39 | |
United
| Professional | $183.08 | $219.47 | $359.82 |