| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.86 | $96.56 | $140.00 | |
Cigna
| Facility | $74.19 | $87.28 | $118.31 | |
Cigna
| Professional | $65.37 | $97.85 | $149.57 | |
Providence
| Facility | $53.33 | $89.66 | $161.91 | |
Providence
| Professional | $78.55 | $123.48 | $190.85 | |
United
| Professional | $117.30 | $147.32 | $168.30 |