| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.71 | $54.74 | $63.04 | |
Cigna
| Facility | $40.26 | $48.32 | $69.98 | |
Cigna
| Professional | $48.32 | $49.28 | $49.28 | |
Providence
| Facility | $40.26 | $48.32 | $69.98 | |
Providence
| Professional | $46.39 | $53.46 | $69.73 | |
United
| Professional | $49.28 | $49.28 | $49.28 |