| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.66 | $140.60 | $188.32 | |
Cigna
| Professional | $93.88 | $173.20 | $520.82 | |
Providence
| Professional | $124.69 | $198.46 | $323.33 | |
United
| Professional | $153.11 | $211.68 | $241.92 |