| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.28 | $32.64 | $35.58 | |
Cigna
| Facility | $46.80 | $46.80 | $46.80 | |
Cigna
| Professional | $39.78 | $39.78 | $47.29 | |
Providence
| Facility | $46.80 | $46.80 | $192.00 | |
Providence
| Professional | $39.78 | $39.86 | $47.29 | |
United
| Professional | $41.83 | $50.73 | $56.41 |