| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.87 | $208.61 | $208.61 | |
Cigna
| Professional | $43.61 | $61.52 | $61.52 | |
Providence
| Professional | $38.17 | $54.08 | $82.60 | |
United
| Professional | $55.59 | $69.76 | $108.23 |