| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.20 | $258.29 | $258.29 | |
Cigna
| Facility | $58.25 | $78.33 | $118.70 | |
Cigna
| Professional | $7.14 | $57.82 | $58.25 | |
Providence
| Facility | $15.06 | $68.29 | $118.70 | |
Providence
| Professional | $36.15 | $36.15 | $58.25 | |
United
| Facility | $40.17 | $40.17 | $40.17 | |
United
| Professional | $5.93 | $16.87 | $40.17 |