| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.97 | $214.93 | $214.93 | |
Cigna
| Facility | $44.94 | $76.06 | $76.06 | |
Cigna
| Professional | $44.94 | $61.85 | $76.06 | |
Providence
| Facility | $34.18 | $72.44 | $76.06 | |
Providence
| Professional | $44.94 | $57.09 | $76.12 | |
United
| Professional | $27.65 | $30.59 | $48.52 |