| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.28 | $104.65 | $104.65 | |
Cigna
| Facility | $153.01 | $153.01 | $153.01 | |
Cigna
| Professional | $130.06 | $137.71 | $153.01 | |
Providence
| Facility | $44.89 | $61.72 | $95.66 | |
Providence
| Professional | $51.49 | $104.35 | $171.03 | |
United
| Professional | $94.98 | $144.75 | $166.80 |