| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.72 | $566.58 | $566.58 | |
Cigna
| Professional | $123.10 | $157.77 | $185.61 | |
Providence
| Professional | $115.17 | $172.77 | $230.51 | |
United
| Professional | $132.25 | $175.24 | $206.55 |