| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $112.78 | $161.62 | |
Cigna
| Professional | $136.35 | $193.49 | $193.49 | |
Providence
| Professional | $113.33 | $169.57 | $199.50 | |
United
| Professional | $172.96 | $213.44 | $301.76 |