| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.79 | $46.35 | $120.00 | |
Cigna
| Facility | $77.81 | $77.81 | $92.50 | |
Cigna
| Professional | $47.71 | $66.15 | $121.72 | |
Providence
| Facility | $38.76 | $54.73 | $120.00 | |
Providence
| Professional | $47.71 | $66.48 | $81.52 | |
United
| Professional | $65.50 | $77.29 | $91.51 |