| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.15 | $252.44 | $252.44 | |
Cigna
| Facility | $56.93 | $66.73 | $223.78 | |
Cigna
| Professional | $24.16 | $56.93 | $56.93 | |
Providence
| Facility | $56.93 | $66.73 | $223.78 | |
Providence
| Professional | $35.33 | $35.33 | $56.93 | |
United
| Professional | $16.48 | $16.48 | $39.26 |