| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.51 | $312.45 | $312.45 | |
Cigna
| Facility | $85.18 | $85.18 | $101.25 | |
Cigna
| Professional | $63.87 | $85.18 | $122.37 | |
Providence
| Facility | $85.18 | $101.25 | $105.63 | |
Providence
| Professional | $57.26 | $81.12 | $119.11 | |
United
| Professional | $85.68 | $105.02 | $124.60 |