| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.06 | $373.89 | $373.89 | |
Cigna
| Facility | $73.27 | $102.05 | $102.05 | |
Cigna
| Professional | $73.27 | $82.99 | $102.05 | |
Providence
| Facility | $54.18 | $97.19 | $102.05 | |
Providence
| Professional | $73.27 | $76.59 | $102.12 | |
United
| Professional | $43.82 | $48.49 | $74.19 |