| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.22 | $194.22 | $194.22 | |
Cigna
| Professional | $206.70 | $206.70 | $206.70 | |
Providence
| Professional | $206.70 | $206.70 | $206.70 | |
United
| Professional | $234.00 | $351.00 | $472.02 |