| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.64 | $97.82 | $104.11 | |
Cigna
| Facility | $81.98 | $81.98 | $81.98 | |
Cigna
| Professional | $77.91 | $81.98 | $89.75 | |
Providence
| Facility | $81.98 | $89.75 | $91.78 | |
Providence
| Professional | $81.22 | $97.37 | $118.44 | |
United
| Professional | $89.75 | $89.75 | $89.75 |