| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.46 | $48.46 | $85.62 | |
Cigna
| Facility | $36.81 | $36.81 | $66.33 | |
Cigna
| Professional | $36.81 | $49.62 | $49.62 | |
Providence
| Facility | $36.81 | $36.81 | $66.33 | |
Providence
| Professional | $36.10 | $49.99 | $76.70 | |
United
| Professional | $48.65 | $48.65 | $48.65 |