| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.42 | $66.70 | $372.94 | |
Cigna
| Facility | $84.10 | $98.60 | $330.60 | |
Cigna
| Professional | $13.78 | $84.10 | $84.10 | |
Providence
| Facility | $84.10 | $98.60 | $330.60 | |
Providence
| Professional | $52.20 | $52.20 | $84.10 | |
United
| Professional | $11.47 | $24.36 | $34.79 |