| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.94 | $253.63 | $253.63 | |
Cigna
| Facility | $73.61 | $160.52 | $309.62 | |
Cigna
| Professional | $59.64 | $73.61 | $79.15 | |
Providence
| Facility | $45.54 | $92.98 | $160.52 | |
Providence
| Professional | $44.97 | $67.45 | $97.30 | |
United
| Professional | $72.27 | $84.67 | $129.49 |