| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.75 | $66.02 | $96.52 | |
Cigna
| Facility | $115.68 | $115.68 | $115.68 | |
Cigna
| Professional | $82.57 | $115.68 | $115.68 | |
Providence
| Facility | $59.75 | $75.62 | $115.68 | |
Providence
| Professional | $67.61 | $101.74 | $119.70 | |
United
| Professional | $114.92 | $130.38 | $181.22 |