| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.78 | $88.42 | $425.18 | |
Cigna
| Facility | $154.74 | $154.74 | $154.74 | |
Cigna
| Professional | $60.12 | $154.74 | $154.74 | |
Providence
| Facility | $140.27 | $154.74 | $302.97 | |
Providence
| Professional | $116.14 | $116.14 | $172.70 | |
United
| Professional | $59.47 | $62.49 | $71.54 |