| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.50 | $297.33 | $297.33 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
Providence
| Professional | $326.48 | $326.48 | $330.00 | |
United
| Professional | $339.28 | $339.28 | $360.30 |