| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.77 | $112.26 | $541.58 | |
Cigna
| Professional | $59.59 | $150.16 | $211.48 | |
Providence
| Professional | $99.87 | $150.16 | $194.90 | |
United
| Professional | $134.81 | $162.40 | $177.46 |