| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.28 | $360.85 | $360.85 | |
Cigna
| Facility | $71.68 | $98.49 | $98.49 | |
Cigna
| Professional | $71.68 | $80.09 | $98.49 | |
Providence
| Facility | $52.30 | $93.80 | $98.49 | |
Providence
| Professional | $71.68 | $73.93 | $107.87 | |
United
| Professional | $42.29 | $46.79 | $71.61 |