| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.56 | $340.89 | $340.89 | |
Cigna
| Facility | $67.56 | $128.51 | $128.51 | |
Cigna
| Professional | $67.56 | $128.51 | $128.51 | |
Providence
| Facility | $60.29 | $122.39 | $128.51 | |
Providence
| Professional | $67.56 | $96.45 | $128.60 | |
United
| Professional | $48.76 | $53.95 | $61.76 |