| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.96 | $108.85 | $668.46 | |
Cigna
| Facility | 26 | $39.44 | $39.44 | $48.75 |
Cigna
| Professional | $155.65 | $259.16 | $493.88 | |
Providence
| Facility | 26 | $39.44 | $39.44 | $48.75 |
Providence
| Professional | $101.76 | $184.22 | $272.95 | |
United
| Professional | $117.29 | $177.54 | $218.57 |