| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.15 | $29.15 | $39.13 | |
Cigna
| Facility | $41.01 | $41.01 | $90.07 | |
Cigna
| Professional | $41.01 | $41.64 | $41.64 | |
Providence
| Facility | $41.01 | $41.01 | $90.07 | |
Providence
| Professional | $41.01 | $41.64 | $41.64 | |
United
| Professional | $47.14 | $47.14 | $47.14 |