| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.75 | $44.36 | $234.67 | |
Cigna
| Facility | $62.04 | $77.34 | $235.75 | |
Cigna
| Professional | $45.22 | $62.57 | $121.55 | |
Providence
| Facility | $62.04 | $77.34 | $235.75 | |
Providence
| Professional | $38.60 | $53.20 | $74.20 | |
United
| Professional | $34.97 | $39.86 | $72.25 |