| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.96 | $77.62 | $77.62 | |
Cigna
| Professional | $56.24 | $85.25 | $100.43 | |
Providence
| Professional | $59.85 | $84.79 | $100.43 | |
United
| Professional | $73.44 | $88.74 | $104.52 |