| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.71 | $151.66 | $770.21 | |
Cigna
| Professional | $109.51 | $109.51 | $199.80 | |
Providence
| Professional | $125.45 | $151.79 | $199.80 | |
United
| Professional | $168.69 | $181.71 | $357.96 |