| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.16 | $246.82 | $246.82 | |
Cigna
| Facility | $48.15 | $67.36 | $67.36 | |
Cigna
| Professional | $48.15 | $54.78 | $67.36 | |
Providence
| Facility | $35.77 | $64.15 | $67.36 | |
Providence
| Professional | $48.15 | $50.56 | $70.23 | |
United
| Professional | $28.93 | $32.00 | $50.77 |