| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.34 | $116.41 | $600.59 | |
Cigna
| Professional | $122.00 | $178.32 | $242.50 | |
Providence
| Professional | $125.23 | $179.65 | $242.50 | |
United
| Professional | $147.66 | $186.18 | $211.86 |