| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.05 | $56.01 | $79.01 | |
Cigna
| Facility | $98.85 | $98.85 | $98.85 | |
Cigna
| Professional | $61.77 | $88.97 | $142.02 | |
Providence
| Facility | $44.69 | $60.11 | $103.85 | |
Providence
| Professional | $66.95 | $110.00 | $171.61 | |
United
| Professional | $85.95 | $109.08 | $131.79 |