| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.69 | $160.56 | $238.69 | |
Cigna
| Facility | 26 | $42.06 | $42.06 | $50.00 |
Cigna
| Professional | $73.38 | $216.31 | $614.34 | |
Providence
| Facility | 26 | $42.06 | $42.06 | $50.00 |
Providence
| Professional | $153.66 | $236.29 | $370.98 | |
United
| Professional | $177.48 | $218.08 | $256.74 |