| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.18 | $1,136.45 | $1,136.45 | |
Cigna
| Professional | $197.43 | $289.19 | $562.17 | |
Providence
| Professional | $180.84 | $256.19 | $344.58 | |
United
| Professional | $169.02 | $183.04 | $349.22 |