| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.43 | $198.02 | $742.17 | |
Cigna
| Professional | $136.19 | $246.47 | $525.91 | |
Providence
| Professional | $179.55 | $336.16 | $648.04 | |
United
| Professional | $305.39 | $376.32 | $577.91 |