| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $29.16 | $55.98 | |
Aetna
| Professional | $14.00 | $23.33 | $23.33 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
Providence
| Facility | $9.69 | $17.73 | $23.33 | |
Providence
| Professional | $15.30 | $18.66 | $18.66 | |
United
| Professional | $7.84 | $7.84 | $12.50 |