| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.99 | $108.80 | $119.61 | |
Cigna
| Facility | $51.53 | $51.53 | $90.07 | |
Cigna
| Professional | $51.53 | $131.35 | $131.35 | |
Providence
| Facility | $51.53 | $51.53 | $90.07 | |
Providence
| Professional | $31.19 | $43.19 | $131.35 | |
United
| Professional | $132.53 | $132.53 | $140.74 |