| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
Cigna
| Facility | $61.31 | $61.31 | $61.31 | |
Cigna
| Professional | $48.57 | $60.71 | $61.31 | |
Providence
| Facility | $61.31 | $61.31 | $61.31 | |
Providence
| Professional | $42.28 | $50.74 | $61.31 | |
United
| Professional | $17.66 | $17.73 | $42.22 |