| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.98 | $14.86 | $141.15 | |
Cigna
| Facility | $41.68 | $47.36 | $47.36 | |
Cigna
| Professional | $30.79 | $42.53 | $168.41 | |
Providence
| Facility | $13.28 | $41.68 | $137.74 | |
Providence
| Professional | $15.00 | $40.26 | $188.06 | |
United
| Professional | $23.82 | $203.58 | $256.36 |