| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.81 | $199.54 | $581.52 | |
Cigna
| Professional | $117.16 | $233.67 | $493.46 | |
Providence
| Professional | $156.63 | $286.81 | $561.89 | |
United
| Professional | $278.98 | $341.02 | $473.96 |