| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.27 | $191.61 | $191.61 | |
Cigna
| Facility | $43.21 | $50.66 | $169.86 | |
Cigna
| Professional | $13.78 | $43.21 | $43.21 | |
Providence
| Facility | $43.21 | $50.66 | $169.86 | |
Providence
| Professional | $26.82 | $26.82 | $43.21 | |
United
| Professional | $11.47 | $12.52 | $29.80 |