| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.59 | $57.92 | $82.13 | |
Cigna
| Facility | $100.43 | $105.16 | $105.16 | |
Cigna
| Professional | $75.53 | $100.43 | $105.16 | |
Providence
| Facility | $50.54 | $64.00 | $105.16 | |
Providence
| Professional | $61.79 | $97.06 | $153.28 | |
United
| Professional | $93.59 | $114.56 | $137.86 |