| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.66 | $346.81 | $346.81 | |
Cigna
| Professional | $73.63 | $73.63 | $219.58 | |
Providence
| Professional | $59.69 | $79.29 | $124.29 | |
United
| Professional | $84.13 | $105.61 | $133.13 |