| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.68 | $52.68 | $52.68 | |
Cigna
| Facility | $44.69 | $74.31 | $189.35 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
Providence
| Facility | $44.69 | $74.31 | $189.35 | |
Providence
| Professional | $29.79 | $45.83 | $63.47 | |
United
| Professional | $52.89 | $52.89 | $52.89 |