| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.81 | $481.88 | $481.88 | |
Cigna
| Facility | $132.63 | $159.09 | $159.09 | |
Cigna
| Professional | $132.63 | $136.62 | $159.09 | |
Providence
| Facility | $84.47 | $151.51 | $159.09 | |
Providence
| Professional | $119.40 | $132.63 | $159.19 | |
United
| Professional | $68.31 | $75.59 | $86.53 |