| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.59 | $259.33 | $1,428.96 | |
Cigna
| Professional | $198.79 | $198.79 | $361.75 | |
Providence
| Professional | $227.10 | $274.80 | $361.75 | |
United
| Professional | $267.79 | $386.10 | $479.12 |