| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.91 | $105.43 | $145.16 | |
Cigna
| Facility | $170.36 | $170.36 | $170.36 | |
Cigna
| Professional | $96.42 | $126.01 | $170.36 | |
Providence
| Facility | $89.10 | $137.36 | $204.93 | |
Providence
| Professional | $106.11 | $180.55 | $288.64 | |
United
| Professional | $152.15 | $180.68 | $214.19 |