| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.04 | $134.94 | $143.61 | |
Cigna
| Facility | $146.60 | $146.60 | $146.60 | |
Cigna
| Professional | $123.80 | $146.60 | $146.60 | |
Providence
| Facility | $123.80 | $146.60 | $161.97 | |
Providence
| Professional | $134.31 | $134.31 | $175.19 | |
United
| Professional | $123.80 | $123.80 | $123.80 |