| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.83 | $154.83 | $154.83 | |
Cigna
| Facility | $70.45 | $70.45 | $154.74 | |
Cigna
| Professional | $70.45 | $158.56 | $158.56 | |
Providence
| Facility | $70.45 | $70.45 | $154.74 | |
Providence
| Professional | $46.97 | $72.25 | $182.15 | |
United
| Professional | $155.44 | $155.44 | $155.44 |