| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.58 | $514.58 | $514.58 | |
Cigna
| Professional | $526.98 | $526.98 | $526.98 | |
Providence
| Professional | $526.98 | $676.10 | $676.10 | |
United
| Professional | $516.65 | $516.65 | $516.65 |