| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.60 | $171.55 | $920.70 | |
Cigna
| Professional | $169.52 | $235.29 | $382.45 | |
Providence
| Professional | $169.52 | $262.58 | $437.57 | |
United
| Professional | $240.50 | $283.79 | $436.61 |