| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.03 | $41.00 | $49.13 | |
Cigna
| Facility | $83.08 | $83.08 | $98.75 | |
Cigna
| Professional | $62.54 | $76.68 | $83.08 | |
Providence
| Facility | $38.35 | $83.08 | $98.75 | |
Providence
| Professional | $62.54 | $83.08 | $110.23 | |
United
| Professional | $62.92 | $71.39 | $137.82 |