| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.34 | $40.34 | $40.34 | |
Cigna
| Facility | $55.21 | $55.21 | $55.21 | |
Cigna
| Professional | $46.93 | $55.21 | $55.21 | |
Providence
| Facility | $7.27 | $11.63 | $66.69 | |
Providence
| Professional | $7.35 | $8.72 | $59.11 | |
United
| Professional | $75.55 | $76.15 | $128.69 |