| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.70 | $71.70 | $188.49 | |
Cigna
| Facility | $64.19 | $64.19 | $159.61 | |
Cigna
| Professional | $64.19 | $73.42 | $73.42 | |
Providence
| Facility | $64.19 | $64.19 | $159.61 | |
Providence
| Professional | $55.38 | $72.41 | $101.24 | |
United
| Professional | $71.98 | $71.98 | $71.98 |