| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.53 | $79.53 | $147.24 | |
Cigna
| Facility | $72.91 | $72.91 | $165.85 | |
Cigna
| Professional | $65.63 | $65.63 | $72.91 | |
Providence
| Facility | $72.91 | $72.91 | $165.85 | |
Providence
| Professional | $65.63 | $71.20 | $92.87 | |
United
| Professional | $65.63 | $65.63 | $65.63 |