| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.97 | $56.14 | $212.75 | |
Cigna
| Facility | $77.42 | $77.42 | $77.42 | |
Cigna
| Professional | $30.08 | $77.42 | $77.42 | |
Providence
| Facility | $70.18 | $77.42 | $151.80 | |
Providence
| Professional | $58.10 | $58.10 | $86.40 | |
United
| Professional | $29.75 | $31.27 | $35.79 |