| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.79 | $113.64 | $113.64 | |
Cigna
| Facility | $26.07 | $36.56 | $41.35 | |
Cigna
| Professional | $26.07 | $41.35 | $41.35 | |
Providence
| Facility | $19.17 | $39.38 | $41.35 | |
Providence
| Professional | $27.84 | $31.04 | $41.39 | |
United
| Professional | $15.10 | $16.70 | $19.12 |