| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.55 | $609.10 | $750.59 | |
Cigna
| Professional | $156.97 | $194.97 | $232.80 | |
Providence
| Professional | $117.77 | $181.40 | $251.53 | |
United
| Professional | $202.97 | $240.12 | $394.05 |