| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.53 | $227.06 | $381.58 | |
Cigna
| Professional | $229.25 | $238.04 | $385.87 | |
Providence
| Professional | $149.66 | $248.15 | $385.87 | |
United
| Professional | $307.85 | $380.18 | $656.75 |