| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.59 | $44.19 | $44.19 | |
Cigna
| Facility | $45.25 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
Providence
| Facility | $37.47 | $53.24 | $53.24 | |
Providence
| Professional | $35.97 | $37.47 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $44.36 |