| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.45 | $27.59 | $151.13 | |
Cigna
| Facility | $46.80 | $46.80 | $55.63 | |
Cigna
| Professional | $29.00 | $43.97 | $73.19 | |
Providence
| Facility | $23.17 | $32.75 | $151.13 | |
Providence
| Professional | $28.69 | $39.79 | $54.71 | |
United
| Professional | $38.22 | $46.02 | $55.28 |