| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.33 | $410.21 | $410.21 | |
Cigna
| Facility | $95.78 | $129.30 | $363.95 | |
Cigna
| Professional | $55.48 | $108.84 | $211.64 | |
Providence
| Facility | $95.78 | $129.30 | $363.95 | |
Providence
| Professional | $66.95 | $94.53 | $152.40 | |
United
| Professional | $61.05 | $83.09 | $144.69 |