| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.88 | $109.91 | $159.57 | |
Cigna
| Professional | $136.35 | $193.49 | $193.49 | |
Providence
| Professional | $113.33 | $169.57 | $199.50 | |
United
| Professional | $188.77 | $214.18 | $297.67 |