| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.77 | $44.91 | $45.76 | |
Cigna
| Facility | $60.99 | $60.99 | $60.99 | |
Cigna
| Professional | $51.84 | $54.89 | $75.27 | |
Providence
| Facility | $29.72 | $34.46 | $46.08 | |
Providence
| Professional | $51.84 | $53.00 | $61.63 | |
United
| Professional | $54.29 | $68.45 | $74.80 |