| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.81 | $49.68 | $107.05 | |
Cigna
| Facility | $46.39 | $46.39 | $119.98 | |
Cigna
| Professional | $41.11 | $41.11 | $46.39 | |
Providence
| Facility | $46.39 | $46.39 | $119.98 | |
Providence
| Professional | $41.11 | $44.60 | $58.17 | |
United
| Professional | $41.11 | $41.11 | $41.11 |