| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.86 | $55.95 | $126.07 | |
Cigna
| Facility | $68.34 | $68.34 | $141.71 | |
Cigna
| Professional | $50.37 | $50.37 | $68.34 | |
Providence
| Facility | $68.34 | $68.34 | $141.71 | |
Providence
| Professional | $50.37 | $54.64 | $72.34 | |
United
| Professional | $50.37 | $50.37 | $56.07 |