| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $102.33 | $102.33 | |
Aetna
| Professional | $19.95 | $25.12 | $37.15 | |
Cigna
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Professional | $36.31 | $36.31 | $44.67 | |
Providence
| Facility | $20.42 | $29.51 | $38.02 | |
Providence
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Facility | $28.18 | $28.18 | $28.18 | |
United
| Professional | $13.18 | $13.18 | $18.62 |