| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.38 | $471.77 | $471.77 | |
Cigna
| Facility | $106.39 | $124.73 | $418.21 | |
Cigna
| Professional | $35.72 | $106.39 | $106.39 | |
Providence
| Facility | $106.39 | $124.73 | $418.21 | |
Providence
| Professional | $66.03 | $66.03 | $106.39 | |
United
| Professional | $30.82 | $30.82 | $73.37 |