| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.88 | $80.93 | $138.78 | |
Cigna
| Facility | $85.00 | $108.84 | $323.00 | |
Cigna
| Professional | $75.41 | $108.84 | $210.36 | |
Providence
| Facility | $85.00 | $108.84 | $323.00 | |
Providence
| Professional | $67.94 | $101.91 | $151.53 | |
United
| Professional | $78.52 | $97.95 | $170.59 |