| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.52 | $143.66 | $686.99 | |
Cigna
| Professional | $127.14 | $176.04 | $285.14 | |
Providence
| Professional | $118.40 | $175.28 | $232.03 | |
United
| Professional | $175.68 | $212.28 | $279.67 |