| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.96 | $191.90 | $277.56 | |
Cigna
| Professional | $230.28 | $327.05 | $327.05 | |
Providence
| Professional | $191.40 | $288.73 | $339.70 | |
United
| Professional | $328.13 | $365.99 | $517.42 |