| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.92 | $60.09 | $162.28 | |
Cigna
| Facility | $105.13 | $326.00 | $326.00 | |
Cigna
| Professional | $61.54 | $61.54 | $326.00 | |
Providence
| Facility | $45.40 | $64.50 | $326.00 | |
Providence
| Professional | $61.54 | $75.43 | $139.82 | |
United
| Professional | $60.34 | $60.34 | $60.34 |