| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.17 | $55.54 | $84.05 | |
Cigna
| Facility | $93.07 | $93.07 | $99.90 | |
Cigna
| Professional | $55.95 | $93.07 | $99.90 | |
Providence
| Facility | $47.31 | $60.09 | $93.07 | |
Providence
| Professional | $65.14 | $108.07 | $159.93 | |
United
| Professional | $90.15 | $106.73 | $121.44 |