| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.59 | $49.71 | $64.28 | |
Cigna
| Facility | $102.53 | $102.53 | $121.88 | |
Cigna
| Professional | $81.75 | $102.53 | $111.44 | |
Providence
| Facility | $54.41 | $75.20 | $116.95 | |
Providence
| Professional | $87.15 | $102.53 | $136.12 | |
United
| Professional | $67.83 | $78.47 | $93.10 |