| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.68 | $72.02 | $176.42 | |
Cigna
| Facility | $64.20 | $64.20 | $64.20 | |
Cigna
| Professional | $24.95 | $64.20 | $64.20 | |
Providence
| Facility | $58.20 | $64.20 | $169.51 | |
Providence
| Professional | $48.19 | $48.19 | $71.65 | |
United
| Professional | $24.67 | $25.93 | $43.21 |