| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.66 | $136.40 | $136.40 | |
Cigna
| Facility | $38.90 | $38.90 | $46.25 | |
Cigna
| Professional | $27.22 | $38.90 | $57.02 | |
Providence
| Facility | $19.13 | $49.40 | $50.60 | |
Providence
| Professional | $24.26 | $36.40 | $52.50 | |
United
| Professional | $38.76 | $44.25 | $61.51 |