| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $79.06 | $158.13 | |
Aetna
| Professional | $39.53 | $63.25 | $63.25 | |
Cigna
| Facility | $34.26 | $34.26 | $34.26 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
Providence
| Facility | $34.26 | $50.07 | $63.25 | |
Providence
| Professional | $43.22 | $52.71 | $52.71 | |
United
| Professional | $22.14 | $22.14 | $31.63 |