| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.20 | $77.81 | $213.54 | |
Cigna
| Facility | $66.25 | $66.25 | $66.25 | |
Cigna
| Professional | $48.61 | $66.25 | $71.00 | |
Providence
| Facility | $32.22 | $74.75 | $79.06 | |
Providence
| Professional | $39.79 | $59.69 | $86.10 | |
United
| Professional | $58.64 | $73.59 | $115.63 |