| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.00 | $180.00 | $181.38 | |
Aetna
| Professional | $38.00 | $72.50 | $204.92 | |
Cigna
| Professional | $40.00 | $50.00 | $53.00 | |
Providence
| Professional | $47.00 | $60.50 | $82.52 | |
United
| Professional | $53.44 | $53.44 | $53.44 |