| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.01 | $69.48 | $69.48 | |
Cigna
| Facility | $59.34 | $59.34 | $141.03 | |
Cigna
| Professional | $56.10 | $56.10 | $59.34 | |
Providence
| Facility | $59.34 | $59.34 | $141.03 | |
Providence
| Professional | $56.10 | $60.87 | $79.40 | |
United
| Professional | $56.10 | $56.10 | $56.10 |