| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.44 | $549.51 | $549.51 | |
Cigna
| Facility | $128.79 | $168.07 | $168.07 | |
Cigna
| Professional | $128.79 | $168.07 | $168.07 | |
Providence
| Facility | $64.33 | $128.79 | $168.07 | |
Providence
| Professional | $91.64 | $122.18 | $168.07 | |
United
| Professional | $81.88 | $86.98 | $137.94 |