| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.53 | $138.88 | $850.53 | |
Cigna
| Professional | $41.30 | $122.26 | $332.18 | |
Providence
| Professional | $55.10 | $162.16 | $412.30 | |
United
| Professional | $199.81 | $244.75 | $321.20 |