| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.46 | $114.00 | $121.28 | |
Cigna
| Facility | $61.34 | $61.34 | $137.22 | |
Cigna
| Professional | $97.06 | $119.71 | $138.66 | |
Providence
| Facility | $69.12 | $80.19 | $110.05 | |
Providence
| Professional | $81.84 | $122.78 | $161.25 | |
United
| Professional | $110.54 | $137.19 | $155.28 |