| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $508.46 | $508.46 | $508.46 | |
Cigna
| Professional | $520.71 | $520.71 | $520.71 | |
Providence
| Professional | $520.71 | $520.71 | $612.60 | |
United
| Professional | $510.50 | $510.50 | $510.50 |