| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.99 | $48.33 | $69.20 | |
Cigna
| Facility | $76.23 | $76.23 | $76.23 | |
Cigna
| Professional | $54.16 | $76.23 | $76.23 | |
Providence
| Facility | $39.84 | $48.49 | $76.23 | |
Providence
| Professional | $44.60 | $72.41 | $85.19 | |
United
| Professional | $81.16 | $91.64 | $114.04 |