| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.45 | $433.13 | $433.13 | |
Cigna
| Facility | $97.67 | $131.35 | $199.05 | |
Cigna
| Professional | $46.27 | $96.54 | $97.67 | |
Providence
| Facility | $97.67 | $114.51 | $199.05 | |
Providence
| Professional | $60.62 | $67.36 | $97.67 | |
United
| Professional | $28.29 | $38.50 | $92.59 |