| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $45.71 | $1,047.13 | |
Cigna
| Professional | $812.83 | $1,047.13 | $1,778.28 | |
Providence
| Facility | $44.67 | $50.12 | $3,311.31 | |
Providence
| Professional | $79.43 | $977.24 | $1,258.93 | |
United
| Professional | $50.12 | $60.26 | $81.28 |