| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.33 | $16.53 | $24.23 | |
Cigna
| Facility | $24.71 | $24.71 | $29.38 | |
Cigna
| Professional | $22.24 | $24.71 | $37.13 | |
Providence
| Facility | $9.33 | $24.23 | $29.38 | |
Providence
| Professional | $24.71 | $24.71 | $37.13 | |
United
| Professional | $14.00 | $14.42 | $29.15 |