| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.38 | $86.71 | $86.71 | |
Cigna
| Facility | $74.37 | $74.37 | $175.34 | |
Cigna
| Professional | $66.64 | $66.64 | $74.37 | |
Providence
| Facility | $74.37 | $74.37 | $175.34 | |
Providence
| Professional | $66.64 | $72.30 | $106.79 | |
United
| Professional | $66.64 | $66.64 | $66.64 |