| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.09 | $106.94 | $113.80 | |
Cigna
| Facility | $98.11 | $107.59 | $107.59 | |
Cigna
| Professional | $98.11 | $107.59 | $107.59 | |
Providence
| Facility | $98.11 | $107.59 | $294.16 | |
Providence
| Professional | $102.26 | $106.43 | $282.39 | |
United
| Professional | $98.11 | $98.11 | $98.11 |