| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.36 | $606.76 | $926.48 | |
Cigna
| Professional | $164.73 | $192.44 | $314.95 | |
Providence
| Professional | $127.23 | $212.05 | $326.22 | |
United
| Professional | $219.24 | $293.24 | $555.73 |