| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.79 | $71.68 | $110.40 | |
Cigna
| Facility | $112.52 | $112.52 | $133.75 | |
Cigna
| Professional | $73.14 | $101.27 | $112.52 | |
Providence
| Facility | $61.60 | $74.98 | $112.52 | |
Providence
| Professional | $91.51 | $101.27 | $149.44 | |
United
| Professional | $91.13 | $117.15 | $133.31 |