| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.07 | $44.46 | $76.27 | |
Cigna
| Facility | $39.65 | $39.65 | $86.38 | |
Cigna
| Professional | $36.77 | $36.77 | $39.65 | |
Providence
| Facility | $39.65 | $39.65 | $86.38 | |
Providence
| Professional | $36.77 | $39.88 | $52.02 | |
United
| Professional | $36.77 | $36.77 | $36.77 |