| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.61 | $93.21 | $186.42 | |
Aetna
| Professional | $46.61 | $74.56 | $74.56 | |
Cigna
| Facility | $40.39 | $40.39 | $40.39 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
Providence
| Facility | $40.39 | $59.03 | $74.56 | |
Providence
| Professional | $50.95 | $62.14 | $62.14 | |
United
| Facility | $37.28 | $55.93 | $93.21 | |
United
| Professional | $26.10 | $26.10 | $37.28 |