| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.99 | $126.74 | $165.08 | |
Cigna
| Professional | $114.46 | $167.05 | $262.67 | |
Providence
| Professional | $119.80 | $195.19 | $325.26 | |
United
| Professional | $164.50 | $189.75 | $238.05 |