| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.46 | $48.25 | $86.72 | |
Cigna
| Facility | $44.07 | $44.07 | $97.35 | |
Cigna
| Professional | $39.86 | $39.86 | $44.07 | |
Providence
| Facility | $44.07 | $44.07 | $97.35 | |
Providence
| Professional | $39.86 | $43.25 | $56.42 | |
United
| Professional | $39.86 | $39.86 | $39.86 |