| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.67 | $391.63 | $1,647.98 | |
Cigna
| Professional | $198.35 | $314.43 | $497.93 | |
Providence
| Professional | $201.54 | $325.33 | $509.00 | |
United
| Professional | $450.33 | $502.29 | $580.23 |