| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.98 | $79.36 | $425.29 | |
Cigna
| Facility | $114.62 | $114.62 | $136.25 | |
Cigna
| Professional | $75.81 | $108.68 | $177.23 | |
Providence
| Facility | $78.25 | $107.09 | $159.96 | |
Providence
| Professional | $75.81 | $121.32 | $202.16 | |
United
| Professional | $106.58 | $126.48 | $151.63 |