| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.79 | $156.03 | $224.35 | |
Cigna
| Professional | $191.65 | $273.42 | $273.42 | |
Providence
| Professional | $160.01 | $235.11 | $276.61 | |
United
| Professional | $240.17 | $296.38 | $419.02 |