| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.26 | $443.16 | $443.16 | |
Cigna
| Facility | $99.93 | $134.38 | $203.66 | |
Cigna
| Professional | $79.30 | $99.12 | $99.93 | |
Providence
| Facility | $99.93 | $134.38 | $203.66 | |
Providence
| Professional | $62.03 | $68.92 | $99.93 | |
United
| Professional | $28.95 | $28.95 | $81.03 |