| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.73 | $52.73 | $105.80 | |
Cigna
| Facility | $56.15 | $59.94 | $76.73 | |
Cigna
| Professional | $54.00 | $54.00 | $59.94 | |
Providence
| Facility | $56.15 | $59.94 | $76.73 | |
Providence
| Professional | $54.00 | $59.94 | $63.53 | |
United
| Professional | $52.94 | $52.94 | $52.94 |