| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.72 | $227.94 | $227.94 | |
Cigna
| Facility | $37.03 | $62.21 | $62.21 | |
Cigna
| Professional | $37.03 | $50.59 | $62.21 | |
Providence
| Facility | $33.04 | $59.25 | $62.21 | |
Providence
| Professional | $37.03 | $46.69 | $62.26 | |
United
| Professional | $26.72 | $29.56 | $46.88 |