| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.61 | $148.65 | $156.41 | |
Cigna
| Professional | $28.51 | $31.41 | $48.89 | |
Providence
| Professional | $27.50 | $38.82 | $50.93 | |
United
| Professional | $44.21 | $49.31 | $59.51 |