| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.28 | $57.03 | $333.51 | |
Cigna
| Professional | $50.27 | $67.33 | $102.43 | |
Providence
| Professional | $48.37 | $74.14 | $102.43 | |
United
| Professional | $92.56 | $105.02 | $169.26 |