| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.92 | $83.64 | $247.31 | |
Cigna
| Professional | $75.19 | $84.97 | $147.22 | |
Providence
| Professional | $49.42 | $97.79 | $150.44 | |
United
| Professional | $115.62 | $142.68 | $260.83 |