| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.84 | $82.94 | $88.26 | |
Cigna
| Facility | $98.57 | $98.57 | $98.57 | |
Cigna
| Professional | $76.09 | $98.57 | $98.57 | |
Providence
| Facility | $76.09 | $98.57 | $106.29 | |
Providence
| Professional | $82.55 | $82.55 | $115.55 | |
United
| Professional | $76.09 | $76.09 | $76.09 |