| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.95 | $89.53 | $119.23 | |
Cigna
| Professional | $66.20 | $114.86 | $161.94 | |
Providence
| Professional | $67.00 | $120.07 | $204.47 | |
United
| Professional | $150.93 | $184.81 | $222.32 |