| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.60 | $32.60 | $37.22 | |
Cigna
| Facility | $52.58 | $52.58 | $52.58 | |
Cigna
| Professional | $23.48 | $44.69 | $52.58 | |
Providence
| Facility | $15.60 | $33.01 | $52.58 | |
Providence
| Professional | $24.30 | $32.40 | $52.58 | |
United
| Professional | $47.43 | $55.80 | $67.12 |