| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.07 | $107.78 | $572.65 | |
Cigna
| Professional | $95.65 | $162.38 | $313.20 | |
Providence
| Professional | $109.01 | $187.78 | $283.64 | |
United
| Professional | $146.22 | $172.81 | $201.60 |