| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.01 | $49.51 | $62.99 | |
Cigna
| Facility | $55.21 | $64.12 | $112.59 | |
Cigna
| Professional | $38.90 | $55.21 | $113.19 | |
Providence
| Facility | $33.90 | $51.56 | $111.46 | |
Providence
| Professional | $40.61 | $70.50 | $117.73 | |
United
| Professional | $72.93 | $83.52 | $95.04 |