| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.09 | $60.70 | $91.53 | |
Cigna
| Facility | 26 | $19.45 | $19.45 | $23.13 |
Cigna
| Professional | $52.63 | $81.98 | $165.12 | |
Providence
| Facility | 26 | $19.45 | $19.45 | $23.13 |
Providence
| Professional | $62.63 | $92.82 | $140.16 | |
United
| Professional | $74.00 | $89.10 | $105.71 |