| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.65 | $90.34 | $96.66 | |
Cigna
| Professional | $66.77 | $98.94 | $116.73 | |
Providence
| Professional | $66.95 | $99.22 | $139.38 | |
United
| Professional | $64.67 | $104.87 | $117.75 |