| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.75 | $49.39 | $52.72 | |
Cigna
| Facility | $84.65 | $84.65 | $100.63 | |
Cigna
| Professional | $71.95 | $84.65 | $84.65 | |
Providence
| Facility | $41.63 | $59.25 | $91.34 | |
Providence
| Professional | $71.95 | $84.65 | $110.23 | |
United
| Professional | $76.48 | $88.49 | $103.49 |