| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $412.74 | $412.74 | |
Cigna
| Facility | $93.08 | $125.17 | $189.68 | |
Cigna
| Professional | $20.41 | $91.89 | $93.08 | |
Providence
| Facility | $93.08 | $125.17 | $189.68 | |
Providence
| Professional | $57.77 | $57.77 | $93.08 | |
United
| Professional | $16.98 | $26.96 | $64.19 |