| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.78 | $432.76 | $4,055.81 | |
Cigna
| Professional | $127.24 | $137.93 | $1,271.67 | |
Providence
| Professional | $84.12 | $634.16 | $1,239.99 | |
United
| Professional | $991.23 | $1,223.22 | $1,824.11 |