| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.00 | $29.86 | $36.19 | |
Cigna
| Facility | $57.84 | $57.84 | $68.75 | |
Cigna
| Professional | $46.01 | $57.84 | $58.58 | |
Providence
| Facility | $29.26 | $36.57 | $62.43 | |
Providence
| Professional | $33.63 | $52.06 | $64.77 | |
United
| Professional | $44.37 | $51.33 | $60.90 |