| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.34 | $154.68 | $220.76 | |
Cigna
| Professional | $191.65 | $273.42 | $273.42 | |
Providence
| Professional | $160.01 | $235.11 | $276.61 | |
United
| Professional | $263.12 | $298.52 | $414.91 |