| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.26 | $389.99 | $389.99 | |
Cigna
| Facility | $87.42 | $106.45 | $106.45 | |
Cigna
| Professional | $87.42 | $90.04 | $106.45 | |
Providence
| Facility | $56.51 | $101.38 | $106.45 | |
Providence
| Professional | $79.89 | $87.42 | $109.24 | |
United
| Professional | $45.71 | $50.57 | $57.89 |