| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.01 | $70.91 | $103.80 | |
Cigna
| Professional | $87.49 | $123.04 | $123.04 | |
Providence
| Professional | $72.13 | $109.99 | $129.41 | |
United
| Professional | $125.61 | $137.47 | $213.68 |