| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.44 | $98.57 | $535.87 | |
Cigna
| Facility | $127.19 | $153.53 | $221.09 | |
Cigna
| Professional | $72.67 | $128.44 | $200.73 | |
Providence
| Facility | $97.40 | $146.90 | $221.09 | |
Providence
| Professional | $95.76 | $153.53 | $244.70 | |
United
| Professional | $81.63 | $93.47 | $164.15 |