| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.42 | $97.21 | $468.27 | |
Cigna
| Facility | $113.52 | $133.55 | $169.38 | |
Cigna
| Professional | $92.62 | $128.24 | $213.92 | |
Providence
| Facility | $70.31 | $84.73 | $133.55 | |
Providence
| Professional | $88.32 | $125.66 | $178.50 | |
United
| Professional | $126.90 | $156.60 | $173.59 |