| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.57 | $85.55 | $515.28 | |
Cigna
| Professional | $107.26 | $119.00 | $163.55 | |
Providence
| Professional | $90.74 | $125.24 | $184.24 | |
United
| Professional | $147.86 | $162.84 | $177.41 |