| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.34 | $35.45 | $53.95 | |
Cigna
| Facility | $54.68 | $54.68 | $65.00 | |
Cigna
| Professional | $35.54 | $51.45 | $79.76 | |
Providence
| Facility | $27.34 | $45.49 | $67.05 | |
Providence
| Professional | $31.94 | $49.04 | $65.40 | |
United
| Professional | $55.11 | $61.47 | $86.91 |