| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.80 | $63.47 | $327.30 | |
Cigna
| Facility | $67.06 | $97.80 | $120.90 | |
Cigna
| Professional | $47.70 | $71.23 | $124.88 | |
Providence
| Facility | $59.18 | $79.95 | $116.57 | |
Providence
| Professional | $60.30 | $97.80 | $155.03 | |
United
| Professional | $45.35 | $57.38 | $100.77 |