| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.67 | $118.40 | $180.79 | |
Cigna
| Professional | $40.88 | $129.57 | $310.41 | |
Providence
| Professional | $149.69 | $243.82 | $385.70 | |
United
| Professional | $177.59 | $245.30 | $289.89 |