| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.41 | $216.77 | $385.47 | |
Cigna
| Facility | $84.65 | $84.65 | $84.65 | |
Cigna
| Professional | $71.95 | $84.65 | $84.65 | |
Providence
| Facility | $33.95 | $84.65 | $336.43 | |
Providence
| Professional | $76.19 | $84.65 | $509.39 | |
United
| Professional | $405.86 | $591.59 | $683.39 |