| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $213.80 | $213.80 | |
Aetna
| Professional | $42.66 | $60.26 | $77.62 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
Providence
| Facility | $41.69 | $61.66 | $77.62 | |
Providence
| Professional | $64.57 | $64.57 | $64.57 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $26.92 | $26.92 | $38.90 |