| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.22 | $55.28 | $58.83 | |
Cigna
| Facility | $62.35 | $62.35 | $62.35 | |
Cigna
| Professional | $50.71 | $62.35 | $62.35 | |
Providence
| Facility | $50.72 | $57.91 | $62.35 | |
Providence
| Professional | $55.02 | $55.02 | $71.76 | |
United
| Professional | $50.72 | $50.72 | $50.72 |