| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.42 | $52.21 | $223.83 | |
Cigna
| Facility | $50.47 | $59.18 | $198.42 | |
Cigna
| Professional | $22.11 | $50.47 | $50.47 | |
Providence
| Facility | $50.47 | $59.18 | $198.42 | |
Providence
| Professional | $31.33 | $31.33 | $50.47 | |
United
| Professional | $20.89 | $20.89 | $46.90 |