| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.97 | $48.45 | $58.08 | |
Cigna
| Facility | $55.06 | $55.06 | $55.06 | |
Cigna
| Professional | $47.97 | $47.97 | $55.06 | |
Providence
| Facility | $47.97 | $55.06 | $60.73 | |
Providence
| Professional | $52.05 | $58.08 | $61.54 | |
United
| Professional | $47.97 | $47.97 | $47.97 |