| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.61 | $88.76 | $104.42 | |
Cigna
| Facility | $70.17 | $82.55 | $82.55 | |
Cigna
| Professional | $53.66 | $82.55 | $82.55 | |
Providence
| Facility | $46.40 | $82.55 | $104.42 | |
Providence
| Professional | $74.30 | $82.55 | $125.77 | |
United
| Professional | $134.13 | $165.30 | $185.25 |