| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.02 | $268.52 | $268.52 | |
Cigna
| Facility | $60.55 | $70.98 | $238.03 | |
Cigna
| Professional | $28.75 | $60.55 | $60.55 | |
Providence
| Facility | $60.55 | $70.98 | $238.03 | |
Providence
| Professional | $37.58 | $37.58 | $60.55 | |
United
| Professional | $17.54 | $17.54 | $41.76 |