| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.38 | $83.55 | $325.79 | |
Cigna
| Facility | $99.38 | $99.38 | $99.38 | |
Cigna
| Professional | $69.25 | $99.38 | $179.02 | |
Providence
| Facility | $50.37 | $69.26 | $154.96 | |
Providence
| Professional | $58.23 | $99.38 | $142.44 | |
United
| Professional | $93.08 | $105.61 | $142.72 |