| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.90 | $73.36 | $105.07 | |
Cigna
| Professional | $87.49 | $123.04 | $123.04 | |
Providence
| Professional | $72.13 | $109.99 | $129.41 | |
United
| Professional | $124.81 | $134.41 | $173.24 |