| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.81 | $80.15 | $88.47 | |
Cigna
| Facility | 26 | $28.39 | $28.39 | $33.75 |
Cigna
| Professional | $66.27 | $105.35 | $207.12 | |
Providence
| Facility | 26 | $28.39 | $28.39 | $33.75 |
Providence
| Professional | $71.52 | $117.22 | $181.91 | |
United
| Professional | $99.47 | $119.77 | $140.07 |