| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.47 | $37.85 | $38.76 | |
Cigna
| Facility | $49.40 | $49.40 | $49.40 | |
Cigna
| Professional | $38.76 | $38.76 | $43.70 | |
Providence
| Facility | $37.85 | $40.28 | $49.40 | |
Providence
| Professional | $33.00 | $45.60 | $50.35 | |
United
| Professional | $38.00 | $38.00 | $38.00 |