| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.15 | $93.50 | $184.68 | |
Cigna
| Facility | $88.23 | $88.23 | $208.30 | |
Cigna
| Professional | $77.39 | $77.39 | $88.23 | |
Providence
| Facility | $88.23 | $88.23 | $208.30 | |
Providence
| Professional | $77.39 | $83.96 | $109.52 | |
United
| Professional | $77.39 | $77.39 | $77.39 |