| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.97 | $55.89 | $55.89 | |
Aetna
| Professional | $13.97 | $22.36 | $22.36 | |
Cigna
| Facility | $12.11 | $12.11 | $12.11 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
Providence
| Facility | $17.70 | $18.63 | $22.36 | |
Providence
| Professional | $15.28 | $18.63 | $18.63 | |
United
| Professional | $7.82 | $7.82 | $11.18 |