| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.77 | $252.90 | $1,411.48 | |
Cigna
| Professional | $198.79 | $198.79 | $361.22 | |
Providence
| Professional | $226.76 | $274.39 | $361.22 | |
United
| Professional | $302.36 | $328.86 | $462.03 |