| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.39 | $275.39 | $302.93 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Providence
| Professional | $302.39 | $302.39 | $324.00 | |
United
| Professional | $279.49 | $279.49 | $296.81 |