| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.79 | $100.79 | $100.79 | |
Cigna
| Facility | $22.61 | $31.71 | $95.80 | |
Providence
| Facility | $22.61 | $31.71 | $95.80 | |
Providence
| Professional | $13.91 | $20.87 | $118.46 | |
United
| Professional | $101.19 | $101.19 | $101.19 |