| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.32 | $46.78 | $63.82 | |
Cigna
| Facility | $56.85 | $56.85 | $56.85 | |
Cigna
| Professional | $46.32 | $46.32 | $59.96 | |
Providence
| Facility | $46.32 | $56.05 | $65.88 | |
Providence
| Professional | $50.29 | $61.00 | $82.79 | |
United
| Professional | $46.32 | $46.32 | $46.32 |