| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.58 | $444.57 | $5,249.42 | |
Cigna
| Professional | $88.48 | $349.61 | $1,982.45 | |
Providence
| Professional | $120.84 | $961.12 | $2,427.69 | |
United
| Professional | $1,253.50 | $1,498.74 | $1,907.50 |