| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $269.15 | $323.59 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
Providence
| Professional | $60.26 | $79.43 | $288.40 | |
United
| Professional | $269.15 | $281.84 | $281.84 |