| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.90 | $29.25 | $60.13 | |
Cigna
| Facility | $29.44 | $29.44 | $35.00 | |
Cigna
| Professional | $26.50 | $29.44 | $44.24 | |
Providence
| Facility | $10.90 | $29.44 | $60.13 | |
Providence
| Professional | $29.44 | $29.44 | $52.19 | |
United
| Professional | $38.97 | $40.56 | $65.89 |