| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.42 | $320.56 | $320.56 | |
Cigna
| Facility | $90.38 | $120.84 | $120.84 | |
Cigna
| Professional | $90.38 | $120.84 | $120.84 | |
Providence
| Facility | $56.70 | $115.09 | $120.84 | |
Providence
| Professional | $90.38 | $90.69 | $120.92 | |
United
| Professional | $45.86 | $50.74 | $78.18 |