| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $109.65 | $109.65 | |
Aetna
| Professional | $20.89 | $25.12 | $38.90 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
Providence
| Facility | $16.60 | $30.20 | $39.81 | |
Providence
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Facility | $28.18 | $28.18 | $28.18 | |
United
| Professional | $13.18 | $13.18 | $19.05 |