| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.97 | $69.92 | $298.45 | |
Cigna
| Facility | $79.40 | $79.40 | $94.38 | |
Cigna
| Professional | $62.82 | $79.40 | $119.35 | |
Providence
| Facility | $79.40 | $94.38 | $103.73 | |
Providence
| Professional | $55.00 | $77.91 | $112.45 | |
United
| Professional | $84.15 | $98.53 | $116.90 |