| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.33 | $207.44 | $207.44 | |
Cigna
| Facility | $40.77 | $84.11 | $84.11 | |
Cigna
| Professional | $40.77 | $84.11 | $84.11 | |
Providence
| Facility | $34.76 | $80.09 | $84.11 | |
Providence
| Professional | $60.22 | $63.13 | $84.17 | |
United
| Professional | $28.12 | $31.10 | $35.60 |