| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.34 | $148.81 | $557.26 | |
Cigna
| Professional | $161.94 | $161.94 | $234.13 | |
Providence
| Professional | $103.84 | $152.94 | $230.82 | |
United
| Professional | $150.28 | $183.17 | $288.60 |