| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.96 | $249.93 | $479.85 | |
Aetna
| Professional | $119.96 | $199.94 | $199.94 | |
Cigna
| Professional | $183.79 | $183.79 | $229.73 | |
Providence
| Facility | $83.17 | $151.94 | $199.94 | |
Providence
| Professional | $131.16 | $131.16 | $159.94 | |
United
| Professional | $67.18 | $67.18 | $95.97 |