| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $43.22 | $50.59 | |
Cigna
| Facility | $47.85 | $47.85 | $56.88 | |
Cigna
| Professional | $16.30 | $43.07 | $47.85 | |
Providence
| Facility | $32.29 | $44.33 | $56.88 | |
Providence
| Professional | $40.67 | $47.85 | $79.16 | |
United
| Professional | $47.90 | $81.64 | $90.78 |