| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.41 | $111.89 | $179.60 | |
Cigna
| Facility | $117.10 | $137.76 | $177.19 | |
Cigna
| Professional | $94.27 | $137.76 | $204.28 | |
Providence
| Facility | $84.99 | $123.24 | $221.38 | |
Providence
| Professional | $113.55 | $180.84 | $280.10 | |
United
| Professional | $157.05 | $201.26 | $240.81 |