| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.91 | $60.70 | $340.30 | |
Cigna
| Facility | $90.44 | $127.70 | $186.34 | |
Cigna
| Professional | $90.44 | $142.57 | $236.14 | |
Providence
| Facility | $58.79 | $186.34 | $344.97 | |
Providence
| Professional | $55.64 | $99.19 | $151.36 | |
United
| Professional | $62.07 | $94.59 | $164.45 |