| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.72 | $158.19 | $1,018.21 | |
Cigna
| Professional | $135.10 | $135.10 | $242.92 | |
Providence
| Professional | $152.54 | $184.54 | $242.92 | |
United
| Professional | $173.30 | $237.29 | $333.38 |