| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.10 | $44.56 | $231.32 | |
Cigna
| Facility | $41.54 | $41.54 | $49.38 | |
Cigna
| Professional | $41.54 | $41.54 | $92.68 | |
Providence
| Facility | $41.54 | $49.38 | $79.70 | |
Providence
| Professional | $31.45 | $49.68 | $73.33 | |
United
| Professional | $64.77 | $74.83 | $82.55 |