| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.15 | $182.07 | $182.07 | |
Cigna
| Facility | $37.90 | $66.26 | $66.26 | |
Cigna
| Professional | $39.04 | $66.26 | $66.26 | |
Providence
| Facility | $30.71 | $63.10 | $66.26 | |
Providence
| Professional | $44.60 | $49.73 | $66.30 | |
United
| Professional | $24.19 | $26.76 | $44.60 |