| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
Cigna
| Facility | $93.08 | $93.08 | $93.08 | |
Cigna
| Professional | $73.51 | $91.89 | $93.08 | |
Providence
| Facility | $93.08 | $93.08 | $93.08 | |
Providence
| Professional | $57.77 | $64.19 | $80.23 | |
United
| Professional | $26.96 | $26.96 | $64.19 |