| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.00 | $46.01 | $62.98 | |
Cigna
| Facility | $64.15 | $64.15 | $76.25 | |
Cigna
| Professional | $57.74 | $64.15 | $96.38 | |
Providence
| Facility | $24.00 | $62.98 | $76.25 | |
Providence
| Professional | $64.15 | $64.15 | $96.38 | |
United
| Professional | $28.23 | $29.07 | $69.13 |