| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.17 | $57.87 | $83.26 | |
Cigna
| Facility | $92.54 | $92.54 | $99.38 | |
Cigna
| Professional | $55.95 | $92.54 | $99.38 | |
Providence
| Facility | $47.31 | $59.76 | $92.54 | |
Providence
| Professional | $64.78 | $107.86 | $159.93 | |
United
| Professional | $90.66 | $106.73 | $122.11 |