| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.49 | $287.63 | $287.63 | |
Cigna
| Facility | $95.88 | $108.47 | $108.47 | |
Cigna
| Professional | $77.63 | $108.47 | $108.47 | |
Providence
| Facility | $71.59 | $108.47 | $124.21 | |
Providence
| Professional | $81.41 | $82.96 | $108.54 | |
United
| Professional | $41.25 | $45.64 | $72.38 |