| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.40 | $219.89 | $219.89 | |
Cigna
| Facility | $62.01 | $83.08 | $83.08 | |
Cigna
| Professional | $62.01 | $83.08 | $83.08 | |
Providence
| Facility | $38.90 | $79.12 | $83.08 | |
Providence
| Professional | $62.01 | $62.35 | $83.14 | |
United
| Facility | $52.45 | $52.45 | $55.12 | |
United
| Professional | $31.46 | $34.81 | $55.21 |