| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.91 | $50.23 | $241.55 | |
Cigna
| Facility | $87.91 | $87.91 | $87.91 | |
Cigna
| Professional | $34.15 | $87.91 | $87.91 | |
Providence
| Facility | $75.63 | $87.91 | $127.13 | |
Providence
| Professional | $65.98 | $65.98 | $98.11 | |
United
| Professional | $34.02 | $35.50 | $40.64 |