| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.67 | $29.03 | $165.73 | |
Cigna
| Facility | $46.73 | $52.96 | $177.56 | |
Cigna
| Professional | $31.80 | $51.59 | $167.21 | |
Providence
| Facility | $24.38 | $32.01 | $63.86 | |
Providence
| Professional | $38.34 | $60.90 | $81.36 | |
United
| Professional | $37.11 | $47.85 | $57.42 |