| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.54 | $92.72 | $107.15 | |
Cigna
| Facility | $96.75 | $96.75 | $115.00 | |
Cigna
| Professional | $62.89 | $87.08 | $96.75 | |
Providence
| Facility | $38.60 | $93.19 | $107.15 | |
Providence
| Professional | $82.24 | $96.75 | $185.69 | |
United
| Professional | $67.20 | $81.20 | $95.21 |