| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.93 | $42.01 | $44.71 | |
Cigna
| Facility | $57.62 | $57.62 | $122.42 | |
Cigna
| Professional | $38.54 | $57.62 | $57.62 | |
Providence
| Facility | $20.11 | $38.54 | $62.14 | |
Providence
| Professional | $41.81 | $41.81 | $57.62 | |
United
| Professional | $38.54 | $38.54 | $38.54 |