| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.90 | $83.94 | $83.94 | |
Cigna
| Facility | $114.62 | $127.79 | $251.75 | |
Cigna
| Professional | $85.96 | $100.45 | $114.62 | |
Providence
| Facility | $92.59 | $96.15 | $160.72 | |
Providence
| Professional | $76.41 | $114.62 | $138.53 | |
United
| Professional | $136.47 | $136.47 | $136.47 |