| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.51 | $62.68 | $71.88 | |
Cigna
| Facility | $57.12 | $57.12 | $108.80 | |
Cigna
| Professional | $54.29 | $57.51 | $58.48 | |
Providence
| Facility | $2.70 | $57.12 | $69.59 | |
Providence
| Professional | $56.19 | $61.48 | $64.76 | |
United
| Professional | $57.51 | $57.51 | $57.51 |