| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.18 | $31.18 | $31.18 | |
Cigna
| Facility | $39.31 | $39.31 | $39.31 | |
Cigna
| Professional | $31.39 | $39.24 | $39.31 | |
Providence
| Facility | $39.31 | $39.31 | $39.31 | |
Providence
| Professional | $24.40 | $27.11 | $33.89 | |
United
| Facility | $32.53 | $32.53 | $32.53 | |
United
| Professional | $11.39 | $11.39 | $27.11 |