| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.57 | $27.14 | $54.27 | |
Aetna
| Professional | $13.57 | $21.71 | $21.71 | |
Cigna
| Facility | $11.76 | $11.76 | $11.76 | |
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
Providence
| Facility | $17.19 | $18.09 | $21.71 | |
Providence
| Professional | $14.83 | $18.09 | $18.09 | |
United
| Professional | $7.60 | $7.60 | $10.85 |