| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.39 | $50.75 | $62.40 | |
Cigna
| Facility | $74.14 | $74.14 | $74.14 | |
Cigna
| Professional | $48.19 | $66.73 | $82.65 | |
Providence
| Facility | $41.98 | $50.95 | $91.71 | |
Providence
| Professional | $28.00 | $63.02 | $99.33 | |
United
| Professional | $25.00 | $84.37 | $103.22 |